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General NPI Number Information
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NPI Number | 1619024692
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Entity Type | Individual
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Provider Name | RAFFAELA R ISETT P.A.
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Gender | Female
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 3231 HIGHWAY 34 E STE C
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City | NEWNAN
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State | GA
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Zip | 30265-6407
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Country | US
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Telephone | 678-971-4167
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Fax | 833-989-2501
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Provider Business Mailing Address
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Address Line | 601 BROAD ST SE STE B
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City | GAINESVILLE
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State | GA
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Zip | 30501-3718
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Country | US
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Telephone | 678-971-4167
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Fax | 833-989-2501
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 5860
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License Number State | GA
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