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General NPI Number Information
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NPI Number | 1922145739
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Entity Type | Individual
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Provider Name | ELENA ISENBERGH MD
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Gender | Female
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 04/19/2009
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Provider Practice Location Address
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Address Line | 1545 18TH ST NW APT 109
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City | WASHINGTON
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State | DC
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Zip | 20036-1345
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Country | US
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Telephone | 202-701-0060
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Fax | 202-462-4394
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Provider Business Mailing Address
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Address Line | 1545 18TH ST NW APT 109
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City | WASHINGTON
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State | DC
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Zip | 20036-1358
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Country | US
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Telephone | 202-701-0060
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Fax | 202-462-4394
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | ME 98063
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | D0067540
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License Number State | MD
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