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General NPI Number Information
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NPI Number | 1922868207
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Entity Type | Organization
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Legal Business Name | FISCHER FAMILY LLC
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Dates
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Enumeration Date | 03/21/2024
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 1951 CLEMENTS FERRY RD STE 201
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City | CHARLESTON
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State | SC
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Zip | 29492-8325
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Country | US
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Telephone | 843-755-6602
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Fax |
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Provider Business Mailing Address
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Address Line | 1951 CLEMENTS FERRY RD STE 201
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City | CHARLESTON
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State | SC
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Zip | 29492-8325
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Country | US
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Telephone | 843-755-6602
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. LAWRENCE ROBERT FISCHER JR.
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Credential | DMD
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Telephone | 843-830-2560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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