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General NPI Number Information
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NPI Number | 1144435272
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Entity Type | Individual
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Provider Name | ANNIE M ISKRA NP
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Gender | Female
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 01/26/2022
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44195-1716
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Country | US
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Telephone | 216-461-2550
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Fax |
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Provider Business Mailing Address
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Address Line | 105 HIDDEN GLEN TRL
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City | CHARDON
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State | OH
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Zip | 44024-1397
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Country | US
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Telephone | 216-571-2800
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209-252483
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | COA.07209-NP
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP-07209
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License Number State | OH
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