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General NPI Number Information
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NPI Number | 1043549165
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Entity Type | Organization
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Legal Business Name | JOSEPHINE ISKANDER, MD PLLC
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Dates
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Enumeration Date | 12/19/2009
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Last Update Date | 09/13/2011
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Provider Practice Location Address
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Address Line | 44199 DEQUINDRE RD STE 304
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City | TROY
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State | MI
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Zip | 48085-1128
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Country | US
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Telephone | 248-964-6407
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Fax | 248-964-9644
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Provider Business Mailing Address
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Address Line | 906 MAJESTIC
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City | ROCHESTER HILLS
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State | MI
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Zip | 48306-3575
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Country | US
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Telephone | 248-841-1721
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPHINE ISKANDER
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Credential | MD
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Telephone | 248-841-1721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 4301085250
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License Number State | MI
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