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General NPI Number Information
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NPI Number | 1629745542
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Entity Type | Organization
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Legal Business Name | ISSA INSTITUTE FOR HOLISTIC HEALTH, PLLC
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Dates
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Enumeration Date | 08/27/2021
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Last Update Date | 08/27/2021
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Provider Practice Location Address
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Address Line | 128 THUNDERBIRD DR STE E
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City | EL PASO
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State | TX
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Zip | 79912-4570
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Country | US
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Telephone | 915-566-9369
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Fax |
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Provider Business Mailing Address
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Address Line | 818 MCKELLIGON DR
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City | EL PASO
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State | TX
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Zip | 79902-2008
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Country | US
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Telephone | 915-383-3212
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARAH RUTH SPRAITZAR
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Credential | MD
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Telephone | 915-383-3212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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