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General NPI Number Information
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NPI Number | 1922372655
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Entity Type | Organization
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Legal Business Name | MICHAEL E. FISCHER,M.D. INC
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Dates
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Enumeration Date | 02/27/2012
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Last Update Date | 02/27/2012
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Provider Practice Location Address
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Address Line | 1059 SOMERA RD
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City | LOS ANGELES
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State | CA
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Zip | 90077-2625
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Country | US
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Telephone | 310-476-1893
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Fax | 310-471-1054
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Provider Business Mailing Address
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Address Line | 1059 SOMERA RD
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City | LOS ANGELES
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State | CA
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Zip | 90077-2625
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Country | US
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Telephone | 310-476-1893
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Fax | 310-471-1054
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL E. FISCHER
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Credential | M.D.
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Telephone | 310-476-1893
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | G49619
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License Number State | CA
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