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General NPI Number Information
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NPI Number | 1306976345
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Entity Type | Individual
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Provider Name | MISS YVETTE ISKANDER
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Gender | Female
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 100 BREWSTER BLVD
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City | CAMP LEJEUNE
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State | NC
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Zip | 28547-2538
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Country | US
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Telephone | 910-449-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 914 S OCEAN BLVD APT 2
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City | NORTH MYRTLE BEACH
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State | SC
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Zip | 29582-3565
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Country | US
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Telephone | 843-361-4182
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 010774
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 17526
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License Number State | NC
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