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General NPI Number Information
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NPI Number | 1902013428
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Entity Type | Organization
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Legal Business Name | ISB, INC
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 04/15/2008
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Provider Practice Location Address
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Address Line | 10056 SE 240TH ST SUITE D
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City | KENT
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State | WA
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Zip | 98031-5126
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Country | US
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Telephone | 206-992-9914
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Fax | 206-501-2102
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Provider Business Mailing Address
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Address Line | 4306 156TH AVE NE TT-261
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City | REDMOND
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State | WA
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Zip | 98052-5304
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Country | US
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Telephone | 206-992-9914
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Fax | 206-501-2102
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Authorized Official
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Title or Position | OWNER
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Name | DR. ILONA BARLAM
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Credential | DPM
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Telephone | 206-992-9914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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