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General NPI Number Information
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NPI Number | 1619857299
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Entity Type | Individual
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Provider Name | IZABELLA SHEA ABOOKIRE PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 2525 COURT DR
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City | GASTONIA
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State | NC
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Zip | 28054-2140
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Country | US
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Telephone | 704-834-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 10655 PARTRIDGE TRL
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City | BRECKSVILLE
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State | OH
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Zip | 44141-1416
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Country | US
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Telephone | 440-855-5919
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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