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General NPI Number Information
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NPI Number | 1023828811
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Entity Type | Individual
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Provider Name | ISABELLE GRACE ANDERSON PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 9100 BABCOCK BLVD
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City | PITTSBURGH
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State | PA
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Zip | 15237-5815
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Country | US
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Telephone | 804-543-3690
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Fax |
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Provider Business Mailing Address
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Address Line | 3420 FORBES AVE FL 2
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City | PITTSBURGH
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State | PA
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Zip | 15213-3203
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Country | US
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Telephone | 804-543-3690
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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 | MA066344
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License Number State | PA
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