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General NPI Number Information
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NPI Number | 1841580792
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Entity Type | Individual
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Provider Name | ELIZABETH ISAAC M.AC.; L.AC.; ADS
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Gender | Female
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Dates
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Enumeration Date | 04/12/2011
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Last Update Date | 04/12/2011
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Provider Practice Location Address
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Address Line | 715 PARK AVE
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City | BALTIMORE
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State | MD
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Zip | 21201-4711
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Country | US
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Telephone | 410-454-0178
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Fax | 443-552-0319
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Provider Business Mailing Address
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Address Line | 7812 EMILYS WAY
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City | GREENBELT
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State | MD
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Zip | 20770-2465
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Country | US
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Telephone | 301-474-6753
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Fax | 443-552-0319
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | U01451
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License Number State | MD
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