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General NPI Number Information
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NPI Number | 1720015548
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Entity Type | Individual
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Provider Name | SANDI L. ISAACSON PH.D.
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Gender | Female
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10801 W 87TH ST SUITE B
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City | OVERLAND PARK
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State | KS
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Zip | 66214-1657
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Country | US
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Telephone | 913-438-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 9212 W 103RD ST APT. B.
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City | OVERLAND PARK
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State | KS
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Zip | 66212-5501
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Country | US
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Telephone | 913-438-2100
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 981
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License Number State | KS
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