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General NPI Number Information
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NPI Number | 1578253191
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Entity Type | Individual
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Provider Name | ISAAC DUNN FNP-C
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Gender | Male
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Dates
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Enumeration Date | 05/08/2023
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Last Update Date | 05/04/2025
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Provider Practice Location Address
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Address Line | 19500 SE STARK ST
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City | PORTLAND
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State | OR
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Zip | 97233-5757
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Country | US
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Telephone | 800-813-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 500 NE MULTNOMAH ST FL 11
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City | PORTLAND
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State | OR
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Zip | 97232-2023
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 10037211
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License Number State | OR
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