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General NPI Number Information
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NPI Number | 1407535941
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Entity Type | Individual
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Provider Name | NUR ISAAK PA-C
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Gender | Male
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Dates
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Enumeration Date | 07/12/2023
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | CARE ALLIANCE 1530 ST CLAIR AVE NE
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City | CLEVELAND
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State | OH
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Zip | 44114-2004
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Country | US
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Telephone | 216-535-9100
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Fax | 216-535-2626
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Provider Business Mailing Address
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Address Line | 153 CESAR CHAVEZ ST
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City | SAINT PAUL
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State | MN
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Zip | 55107-2226
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Country | US
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Telephone | 651-602-7500
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Fax | 651-602-7580
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 15611
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.009169RX
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License Number State | OH
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