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General NPI Number Information
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NPI Number | 1841890381
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Entity Type | Individual
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Provider Name | DANIEL JULIO ISAIS MHRS
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Gender | Male
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Dates
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Enumeration Date | 10/26/2020
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 1605 JEFFERSON ST
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City | OAKLAND
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State | CA
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Zip | 94612-1215
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Country | US
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Telephone | 510-973-9651
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Fax |
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Provider Business Mailing Address
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Address Line | 20047 WESTERN BLVD
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City | CHERRYLAND
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State | CA
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Zip | 94541-1743
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Country | US
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Telephone | 510-921-9139
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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