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General NPI Number Information
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NPI Number | 1841505112
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Entity Type | Individual
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Provider Name | CARL ISENBERG PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/11/2010
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Last Update Date | 08/11/2010
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Provider Practice Location Address
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Address Line | 2801 FOSTER AVE
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City | BALTIMORE
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State | MD
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Zip | 21224-3816
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Country | US
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Telephone | 410-732-0523
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Fax |
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Provider Business Mailing Address
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Address Line | 950 SOUTHERLY RD APT 117
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City | BALTIMORE
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State | MD
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Zip | 21204-2756
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Country | US
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Telephone | 724-541-2358
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 19848
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License Number State | MD
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