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General NPI Number Information
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NPI Number | 1104884311
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Entity Type | Individual
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Provider Name | THOMAS C ISAACSON MD
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Gender | Male
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 09/07/2021
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Provider Practice Location Address
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Address Line | 10105 BANBURRY CROSS DR STE 250
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City | LAS VEGAS
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State | NV
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Zip | 89144-6648
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Country | US
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Telephone | 702-360-7600
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Fax | 702-363-3814
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Provider Business Mailing Address
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Address Line | PO BOX 98978
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City | LAS VEGAS
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State | NV
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Zip | 89193-8978
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Country | US
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Telephone | 702-216-3346
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 4664
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 19546
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 4664
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License Number State | SD
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Taxonomy #4
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 32847
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 32847
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License Number State | WI
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