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General NPI Number Information
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NPI Number | 1982636817
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Entity Type | Individual
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Provider Name | VIVIAN ANN FISCHER ACNP
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Gender | Female
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 601 E 15TH ST
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City | AUSTIN
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State | TX
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Zip | 78701-1930
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Country | US
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Telephone | 512-324-7564
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 CREEK RIDGE BLVD
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City | ROUND ROCK
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State | TX
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Zip | 78664-7905
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Country | US
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Telephone | 512-382-0019
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 12058
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License Number State | TN
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