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General NPI Number Information
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NPI Number | 1154607042
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Entity Type | Individual
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Provider Name | ISATTA SALLY JOSEPH RN
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Gender | Female
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Dates
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Enumeration Date | 10/24/2011
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Last Update Date | 10/24/2011
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Provider Practice Location Address
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Address Line | 1140 EASTON AVE APT H
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City | SOMERSET
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State | NJ
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Zip | 08873-1633
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Country | US
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Telephone | 732-659-6581
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Fax |
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Provider Business Mailing Address
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Address Line | 1140 EASTON AVE APT H
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City | SOMERSET
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State | NJ
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Zip | 08873-1633
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Country | US
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Telephone | 732-659-6581
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 26NR13258800
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License Number State | NJ
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Taxonomy #2
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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 | 22 609400
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License Number State | NY
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