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General NPI Number Information
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NPI Number | 1073476537
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Entity Type | Individual
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Provider Name | CLARA INES ISAZA CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1400 BOILING SPRINGS RD STE 9
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City | SPARTANBURG
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State | SC
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Zip | 29303-1995
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Country | US
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Telephone | 864-524-0286
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Fax | 864-752-1072
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Provider Business Mailing Address
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Address Line | 8 GALWAY DR
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City | GREER
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State | SC
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Zip | 29650-0980
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Country | US
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Telephone | 864-524-0286
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Fax | 864-752-1072
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 9099
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License Number State | SC
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