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General NPI Number Information
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NPI Number | 1780530717
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Entity Type | Individual
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Provider Name | ELIJAH JAMES ISAKSON
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Gender | Male
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 1510 E 1ST AVE APT 5
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City | MITCHELL
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State | SD
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Zip | 57301-3729
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Country | US
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Telephone | 605-574-0303
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Fax |
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Provider Business Mailing Address
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Address Line | 1510 E 1ST AVE APT 5
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City | MITCHELL
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State | SD
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Zip | 57301-3729
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Country | US
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Telephone | 605-574-0303
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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 | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number |
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License Number State |
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