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General NPI Number Information
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NPI Number | 1861491078
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Entity Type | Individual
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Provider Name | ISAAC HEARNE MD PC
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Gender | Male
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 02/26/2013
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Provider Practice Location Address
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Address Line | 294 E MOANA LN SUITE 22
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City | RENO
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State | NV
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Zip | 89502-4641
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Country | US
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Telephone | 775-827-8855
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Fax | 775-827-0843
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Provider Business Mailing Address
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Address Line | 294 E MOANA LN SUITE 22
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City | RENO
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State | NV
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Zip | 89502-4641
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Country | US
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Telephone | 775-827-8855
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Fax | 775-827-0843
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 10767
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License Number State | NV
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