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General NPI Number Information
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NPI Number | 1811970957
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Entity Type | Individual
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Provider Name | MR. KIRK J FISCHESSER
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Gender | Male
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Dates
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Enumeration Date | 11/22/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 45 S MIAMI AVE
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City | CLEVES
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State | OH
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Zip | 45002-1216
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Country | US
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Telephone | 513-941-0428
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Fax |
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Provider Business Mailing Address
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Address Line | 9123 BREHM RD
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City | CINCINNATI
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State | OH
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Zip | 45252-2603
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Country | US
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Telephone | 513-385-6293
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03-3-16034
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1835N0905X
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Taxonomy Name | Nuclear Pharmacist
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License Number | 03-3-16034
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 1835N1003X
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Taxonomy Name | Nutrition Support Pharmacist
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License Number | 03-3-16034
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 03-3-16034
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 03-3-16034
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License Number State | OH
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