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General NPI Number Information
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NPI Number | 1205952488
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Entity Type | Individual
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Provider Name | NOSHI A ISHAK MD
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Gender | Male
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 87 SPRING STREET
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City | LACONIA
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State | NH
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Zip | 03246
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Country | US
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Telephone | 603-524-8896
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Fax | 603-524-8796
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Provider Business Mailing Address
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Address Line | 87 SPRING STREET
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City | LACONIA
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State | NH
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Zip | 03246
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Country | US
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Telephone | 603-524-8896
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Fax | 603-524-8796
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 8164
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License Number State | NH
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