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General NPI Number Information
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NPI Number | 1386721959
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Entity Type | Organization
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Legal Business Name | ROSANNA ISKANDER MD INC.
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/12/2019
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Provider Practice Location Address
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Address Line | 1330 W COVINA BLVD STE 102
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City | SAN DIMAS
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State | CA
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Zip | 91773
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Country | US
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Telephone | 909-592-3323
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Fax |
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Provider Business Mailing Address
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Address Line | 1330 W COVINA BLVD STE 102
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City | SAN DIMAS
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State | CA
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Zip | 91773-3200
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Country | US
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Telephone | 909-592-3323
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Fax | 877-992-6240
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROSANNA ISKANDER
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Credential | MD
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Telephone | 909-592-3323
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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 |
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License Number State |
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