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NPI 1639136211

NPI 1639136211 : JAMES HAJIME ISOBE M.D., FACS, RVT : VESTAVIA HILLS, AL

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General NPI Number Information
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    NPI Number           |    1639136211
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES HAJIME ISOBE M.D., FACS, RVT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/27/2006
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    Last Update Date     |    02/05/2018
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Provider Practice Location Address
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    Address Line         |    700 MONTGOMERY HWY SUITE 210
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    City                 |    VESTAVIA HILLS
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    State                |    AL
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    Zip                  |    35216-1866
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    Country              |    US
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    Telephone            |    205-823-0151
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    Fax                  |    205-823-5218
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Provider Business Mailing Address
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    Address Line         |    5295 PRESERVE PKWY STE 270
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    City                 |    HOOVER
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    State                |    AL
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    Zip                  |    35244-4705
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    Country              |    US
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    Telephone            |    205-823-0151
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    Fax                  |    205-823-5218
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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        |    2086S0129X
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    Taxonomy Name        |    Vascular Surgery Physician
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    License Number       |    5471
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    License Number State |    AL
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