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General NPI Number Information
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NPI Number | 1821213554
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Entity Type | Organization
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Legal Business Name | ISABELLA MEDICAL CORPORATION
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 07/31/2007
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Provider Practice Location Address
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Address Line | 333 TAMIAMI TRL S SUITE 102
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City | VENICE
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State | FL
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Zip | 34285-2402
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Country | US
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Telephone | 941-485-4858
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Fax |
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Provider Business Mailing Address
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Address Line | 333 S. TAMIAMI TRAIL, SUITE 102
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City | VENICE
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State | FL
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Zip | 34285
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Country | US
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Telephone | 941-485-4858
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. EDUARDO SANCHEZ-ARIAS
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Credential | DO
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Telephone | 305-321-3308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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