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General NPI Number Information
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NPI Number | 1316565526
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Entity Type | Individual
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Provider Name | ISABEL HIRSCH NP
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Gender | Female
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Dates
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Enumeration Date | 07/14/2020
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Last Update Date | 02/09/2023
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Provider Practice Location Address
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Address Line | 3225 TIMBER FALL CT STE B
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City | EUREKA
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State | CA
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Zip | 95503-4892
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Country | US
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Telephone | 170-744-2570
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Fax |
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Provider Business Mailing Address
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Address Line | 1313 DRIVER RD
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City | TRINIDAD
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State | CA
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Zip | 95570-9720
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Country | US
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Telephone | 860-638-9909
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2345303
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95024124
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License Number State | CA
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