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General NPI Number Information
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NPI Number | 1760286298
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Entity Type | Individual
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Provider Name | BENJAMIN C FISHER PT
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Gender | Male
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 50 LIFESTYLE PL STE 3
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City | PITTSBORO
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State | NC
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Zip | 27312-4982
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Country | US
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Telephone | 984-282-3730
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Fax |
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Provider Business Mailing Address
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Address Line | 314 COUNTY SEAT DR
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-9322
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Country | US
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Telephone | 919-452-0745
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 14059
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P14059
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License Number State | NC
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