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General NPI Number Information
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NPI Number | 1326497918
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Entity Type | Organization
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Legal Business Name | HILARIO A. ISABA MD PA
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Dates
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Enumeration Date | 06/06/2016
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Last Update Date | 06/07/2016
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Provider Practice Location Address
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Address Line | 7234 BEDLINGTON RD
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City | MIAMI LAKES
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State | FL
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Zip | 33014-8000
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Country | US
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Telephone | 786-271-6032
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Fax | 305-646-1039
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Provider Business Mailing Address
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Address Line | 4910 E 2ND AVE
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City | HIALEAH
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State | FL
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Zip | 33013-1410
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Country | US
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Telephone | 786-271-6032
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Fax | 305-646-1039
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Authorized Official
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Title or Position | MD
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Name | HILARIO A ISABA
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Credential |
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Telephone | 786-271-6032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME049241
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License Number State | FL
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