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General NPI Number Information
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NPI Number | 1013114131
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Entity Type | Individual
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Provider Name | ISSAM EL BIZRI M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 1414 W FAIR AVE STE 344
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City | MARQUETTE
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State | MI
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Zip | 49855-5407
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Country | US
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Telephone | 906-449-1300
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Fax | 906-629-6482
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Provider Business Mailing Address
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Address Line | 1414 W FAIR AVE STE 344
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City | MARQUETTE
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State | MI
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Zip | 49855-5407
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Country | US
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Telephone | 906-449-1300
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Fax | 906-629-6482
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2018000535
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 046827
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 14705
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License Number State | NH
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Taxonomy #4
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 4301510857
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License Number State | MI
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