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General NPI Number Information
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NPI Number | 1346492055
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Entity Type | Organization
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Legal Business Name | ISAAC BESHAY M D INC.
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Dates
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Enumeration Date | 10/14/2008
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Last Update Date | 10/14/2008
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Provider Practice Location Address
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Address Line | 2200 HARBOR BLVD SUITE B210
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City | COSTA MESA
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State | CA
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Zip | 92627-2501
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Country | US
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Telephone | 949-548-2273
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Fax | 949-548-4504
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Provider Business Mailing Address
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Address Line | 2200 HARBOR BLVD SUITE B210
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City | COSTA MESA
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State | CA
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Zip | 92627-2501
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Country | US
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Telephone | 949-548-2273
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Fax | 949-548-4504
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Authorized Official
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Title or Position | PRESIDENT
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Name | ISAAC BESHAY
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Credential | M.D.
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Telephone | 949-548-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A89039
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License Number State | CA
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