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General NPI Number Information
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NPI Number | 1811784077
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Entity Type | Individual
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Provider Name | ISAAC THOMAS TREES EMT
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Gender | Male
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 4601 N JOHN YOUNG PKWY
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City | ORLANDO
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State | FL
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Zip | 32804-1612
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Country | US
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Telephone | 407-822-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 733 BOYLSTON ST
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City | LEESBURG
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State | FL
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Zip | 34748-6301
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Country | US
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Telephone | 352-250-4570
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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 | 565519
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License Number State | FL
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