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General NPI Number Information
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NPI Number | 1821168758
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Entity Type | Individual
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Provider Name | ISAAC BAK O.D.
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Gender | Male
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 01/21/2021
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Provider Practice Location Address
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Address Line | 1750 NOTTINGHAM WAY
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City | HAMILTON
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State | NJ
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Zip | 08619-3551
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Country | US
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Telephone | 609-734-7572
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Fax | 609-734-8403
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Provider Business Mailing Address
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Address Line | 849 EDISON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19116-1240
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Country | US
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Telephone | 215-688-1478
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Fax | 609-734-8403
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OA00478100
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License Number State | NJ
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