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General NPI Number Information
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NPI Number | 1760497325
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Entity Type | Individual
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Provider Name | JARON JOSEPH FISCHBECK MD
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Gender | Male
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 01/21/2020
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Provider Practice Location Address
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Address Line | 16611 S 40TH ST SUITE 120
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City | PHOENIX
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State | AZ
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Zip | 85048-0562
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Country | US
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Telephone | 480-706-4100
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Fax | 480-706-2600
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Provider Business Mailing Address
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Address Line | 16611 S. 40TH ST., STE. 120
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City | PHOENIX
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State | AZ
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Zip | 85048
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Country | US
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Telephone | 480-706-4100
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Fax | 480-706-2600
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34353
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License Number State | AZ
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