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NPI 1982730099

NPI 1982730099 : KAREN A FISCHER ATC : ALBANY, NY

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General NPI Number Information
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    NPI Number           |    1982730099
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    Entity Type          |    Individual 
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    Provider Name        |    KAREN A FISCHER ATC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/25/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    432 WESTERN AVE ATHLETIC DEPT
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    City                 |    ALBANY
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    State                |    NY
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    Zip                  |    12203-1419
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    Country              |    US
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    Telephone            |    518-454-2009
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    Fax                  |    518-458-5457
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Provider Business Mailing Address
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    Address Line         |    107 1ST ST APT 2
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    City                 |    SCOTIA
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    State                |    NY
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    Zip                  |    12302-2001
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    Country              |    US
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    Telephone            |    518-588-6100
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    Fax                  |    518-458-5457
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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        |    2255A2300X
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    Taxonomy Name        |    Athletic Trainer
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    License Number       |    000949-1
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    License Number State |    NY
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