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General NPI Number Information
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NPI Number | 1134392509
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Entity Type | Organization
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Legal Business Name | DR. MATTHEW ISNER, DC, PLLC
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 1510 ELIZABETH PIKE
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City | MINERAL WELLS
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State | WV
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Zip | 26150-8413
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Country | US
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Telephone | 304-489-1700
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Fax | 304-489-1880
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Provider Business Mailing Address
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Address Line | 1510 ELIZABETH PIKE
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City | MINERAL WELLS
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State | WV
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Zip | 26150-8413
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Country | US
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Telephone | 304-489-1700
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Fax | 304-489-1880
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MATTHEW OWEN ISNER
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Credential | DC
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Telephone | 304-532-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 868
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License Number State | WV
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