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NPI 1508204728

NPI 1508204728 : JANELL D. ISON D.O. : PORTSMOUTH, OH

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General NPI Number Information
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    NPI Number           |    1508204728
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    Entity Type          |    Individual 
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    Provider Name        |    JANELL D. ISON D.O.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/10/2013
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    Last Update Date     |    11/05/2025
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Provider Practice Location Address
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    Address Line         |    1248 KINNEYS LN 
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    City                 |    PORTSMOUTH
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    State                |    OH
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    Zip                  |    45662-2994
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    Country              |    US
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    Telephone            |    740-356-7290
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    Fax                  |    740-356-7938
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Provider Business Mailing Address
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    Address Line         |    1735 27TH ST STE B06 
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    City                 |    PORTSMOUTH
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    State                |    OH
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    Zip                  |    45662-2681
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    Country              |    US
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    Telephone            |    740-356-8681
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    Fax                  |    740-356-1256
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    34-011556
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    34-011556
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    License Number State |    OH
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