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General NPI Number Information
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NPI Number | 1760985501
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Entity Type | Individual
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Provider Name | JACOB ANTHONY FISCHER DO
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Gender | Male
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Dates
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Enumeration Date | 03/16/2018
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Last Update Date | 07/06/2023
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Provider Practice Location Address
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Address Line | 6500 38TH AVE N
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City | ST PETERSBURG
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State | FL
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Zip | 33710-1629
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Country | US
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Telephone | 727-384-7727
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Fax |
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Provider Business Mailing Address
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Address Line | 1420 54TH AVE N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33703-2642
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Country | US
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Telephone | 213-200-4597
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | DOS-2219
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License Number State | HI
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