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General NPI Number Information
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NPI Number | 1871780056
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Entity Type | Organization
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Legal Business Name | JANE FISHER PHD PC
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 05/02/2013
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Provider Practice Location Address
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Address Line | 304 E BROADWAY
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City | HELENA
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State | MT
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Zip | 59601-4237
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Country | US
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Telephone | 406-449-3210
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Fax |
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Provider Business Mailing Address
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Address Line | 304 E BROADWAY
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City | HELENA
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State | MT
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Zip | 59601-4237
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Country | US
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Telephone | 406-449-3210
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. JANE FISHER
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Credential | PHD
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Telephone | 406-449-3210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State | MT
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