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General NPI Number Information
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NPI Number | 1104569201
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Entity Type | Individual
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Provider Name | ANASTASIIA S ISRAEL NP
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Gender | Female
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Dates
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Enumeration Date | 04/16/2022
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 1535 SAVANNAH RD
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City | LEWES
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State | DE
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Zip | 19958-1611
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Country | US
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Telephone | 302-645-3232
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Fax | 302-645-3833
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Provider Business Mailing Address
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Address Line | 1515 SAVANNAH RD
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City | LEWES
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State | DE
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Zip | 19958-1675
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Country | US
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Telephone | 302-645-3499
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Fax | 302-644-4830
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024184694
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 0024184694
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | LP-0010877
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License Number State | DE
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