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General NPI Number Information
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NPI Number | 1952671042
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Entity Type | Individual
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Provider Name | HEIDI M FISCHER PA
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Gender | Female
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Dates
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Enumeration Date | 01/05/2012
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Last Update Date | 07/16/2021
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Provider Practice Location Address
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Address Line | 3535 S I-35 E
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City | DENTON
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State | TX
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Zip | 76210-6850
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Country | US
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Telephone | 432-528-0245
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Fax |
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Provider Business Mailing Address
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Address Line | 1217 JASMINE ST
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City | LANTANA
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State | TX
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Zip | 76226-5567
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Country | US
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Telephone | 432-528-0245
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA07730
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License Number State | TX
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