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General NPI Number Information
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NPI Number | 1851488274
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Entity Type | Individual
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Provider Name | JANICE EVERAL FISCHER C.N.P.
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Gender | Female
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 733 MARKET AVE S CANTON VA OUTPATIENT CLINIC
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City | CANTON
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State | OH
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Zip | 44702-2165
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Country | US
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Telephone | 330-489-4600
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Fax | 330-489-4615
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Provider Business Mailing Address
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Address Line | 3381 PHILLIS BLVD
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City | MYRTLE BEACH
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State | SC
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Zip | 29577-1560
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Country | US
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Telephone | 843-477-0177
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | COA 05349-NP
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP60623636
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License Number State | WA
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