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General NPI Number Information
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NPI Number | 1548557820
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Entity Type | Individual
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Provider Name | ELIZABETH ISAGER
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Gender | Female
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Dates
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Enumeration Date | 07/07/2011
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Last Update Date | 07/07/2011
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Provider Practice Location Address
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Address Line | 12 METRO PARK RD SUITE 102
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City | ALBANY
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State | NY
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Zip | 12205-1139
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Country | US
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Telephone | 518-437-0152
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Fax | 518-437-0269
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Provider Business Mailing Address
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Address Line | 495 8TH AVE
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City | TROY
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State | NY
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Zip | 12182-2817
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Country | US
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Telephone | 518-326-2013
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Fax |
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 268466
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License Number State | NY
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