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General NPI Number Information
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NPI Number | 1750688636
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Entity Type | Organization
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Legal Business Name | ROBERT L. FISHER CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 02/11/2011
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Last Update Date | 02/11/2011
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Provider Practice Location Address
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Address Line | 26850 SIERRA HWY STE A14
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City | SANTA CLARITA
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State | CA
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Zip | 91321-2267
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Country | US
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Telephone | 661-299-4933
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Fax | 661-299-4664
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Provider Business Mailing Address
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Address Line | 26850 SIERRA HWY STE A14
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City | SANTA CLARITA
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State | CA
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Zip | 91321-2267
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Country | US
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Telephone | 661-299-4933
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Fax | 661-299-4664
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT L. FISHER
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Credential | D.C.
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Telephone | 661-299-4933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 17881
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License Number State | CA
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