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General NPI Number Information
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NPI Number | 1154286136
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Entity Type | Individual
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Provider Name | ISAIAH RASHAD II
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Gender | Male
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 239 CHELSEA ST # 499
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City | SOUTH ROYALTON
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State | VT
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Zip | 05068-9802
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Country | US
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Telephone | 802-829-2343
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Fax | 802-829-2343
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Provider Business Mailing Address
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Address Line | 239 CHELSEA ST # 499
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City | SOUTH ROYALTON
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State | VT
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Zip | 05068-9802
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Country | US
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Telephone | 802-829-2343
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Fax | 802-829-2343
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 097.0136749
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | VT
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