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General NPI Number Information
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NPI Number | 1710110788
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Entity Type | Individual
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Provider Name | ISAAC JOSEPH PAFF D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/25/2009
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Last Update Date | 10/08/2012
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Provider Practice Location Address
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Address Line | 2500 W LAKE MARY BLVD SUITE 101
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City | LAKE MARY
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State | FL
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Zip | 32746-3501
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Country | US
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Telephone | 407-936-0976
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Fax | 407-936-0977
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Provider Business Mailing Address
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Address Line | 2500 W LAKE MARY BLVD SUITE 101
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City | LAKE MARY
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State | FL
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Zip | 32746-3501
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Country | US
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Telephone | 407-936-0976
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Fax | 407-936-0977
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS11421
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License Number State | FL
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