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General NPI Number Information
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NPI Number | 1124056932
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Entity Type | Individual
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Provider Name | RICHARD S ISAACSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 07/30/2022
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Provider Practice Location Address
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Address Line | 777 GLADES RD OFFICE BUILDING 1 FIRST FLOOR
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City | BOCA RATON
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State | FL
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Zip | 33431
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Country | US
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Telephone | 561-297-0372
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Fax |
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Provider Business Mailing Address
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Address Line | 777 GLADES ROAD OFFICE BUILDING 1 FIRST FLOOR
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City | BOCA RATON
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State | FL
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Zip | 33431-0000
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Country | US
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Telephone | 561-297-0372
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME93549
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License Number State | FL
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