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General NPI Number Information
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NPI Number | 1770439895
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Entity Type | Individual
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Provider Name | DORY ELLEN FISH
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Gender | Female
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 136 GARRETT AVE. 2-SOUTH
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City | BRYN MAWR
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State | PA
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Zip | 19010
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Country | US
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Telephone | 215-247-2211
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Fax |
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Provider Business Mailing Address
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Address Line | 136 GARRETT AVE. 2-SOUTH
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City | BRYN MAWR
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State | PA
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Zip | 19010
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Country | US
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Telephone | 215-247-2211
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AK000330L
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License Number State | PA
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