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General NPI Number Information
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NPI Number | 1912030115
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Entity Type | Individual
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Provider Name | PAMELA JOYCE FISHER
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Gender | Female
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 539 GARDEN HWY SUITE B
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City | YUBA CITY
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State | CA
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Zip | 95991-6318
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Country | US
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Telephone | 530-822-7133
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Fax | 530-822-7213
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Provider Business Mailing Address
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Address Line | 715 JEWELL AVE
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City | YUBA CITY
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State | CA
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Zip | 95991-5432
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Country | US
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Telephone | 530-790-7975
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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