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General NPI Number Information
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NPI Number | 1538969043
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Entity Type | Organization
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Legal Business Name | ISHARA LLC
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Dates
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Enumeration Date | 03/14/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 222 DELAWARE ST STE 207 A127
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City | HISTORIC NEW CASTLE
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State | DE
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Zip | 19720-4855
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Country | US
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Telephone | 302-568-7549
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Fax | 302-778-9806
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Provider Business Mailing Address
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Address Line | 222 DELAWARE ST STE 207 BOX A127
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City | HISTORIC NEW CASTLE
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State | DE
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Zip | 19720-4855
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Country | US
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Telephone | 302-521-0763
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Fax | 302-778-9806
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Authorized Official
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Title or Position | OWNER
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Name | TABITHA MBUGUA
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Credential | APRN FNP-C
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Telephone | 302-521-0763
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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