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General NPI Number Information
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NPI Number | 1083674253
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Entity Type | Individual
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Provider Name | DEANN W ISACKSON DDS, MD
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Gender | Female
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 10907 SE 66TH ST
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City | NEWCASTLE
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State | WA
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Zip | 98056-1008
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Country | US
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Telephone | 360-435-6072
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Fax | 360-435-6172
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Provider Business Mailing Address
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Address Line | PO BOX 60297
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City | SEATTLE
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State | WA
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Zip | 98160-0297
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Country | US
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Telephone | 425-417-8119
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD00033148
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License Number State | WA
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