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General NPI Number Information
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NPI Number | 1033592456
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Entity Type | Organization
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Legal Business Name | ISA MANAGEMENT SERVICES, LLC
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Dates
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Enumeration Date | 07/02/2015
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Last Update Date | 12/21/2016
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Provider Practice Location Address
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Address Line | 1260 W SPRING VALLEY RD STE B
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City | RICHARDSON
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State | TX
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Zip | 75080
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Country | US
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Telephone | 469-466-1242
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Fax | 469-533-4515
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Provider Business Mailing Address
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Address Line | 1260 W SPRING VALLEY RD STE B
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City | RICHARDSON
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State | TX
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Zip | 75080
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Country | US
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Telephone | 469-466-1242
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Fax | 469-533-4515
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MR. MICHAEL IRIZARRY
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Credential |
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Telephone | 469-466-1242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 30053
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State | TX
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