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General NPI Number Information
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NPI Number | 1922729045
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Entity Type | Organization
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Legal Business Name | ISAAC REICH MD CA A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 09/07/2022
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Last Update Date | 05/31/2023
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Provider Practice Location Address
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Address Line | 13027 VICTORY BLVD # 519
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-2925
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Country | US
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Telephone | 917-821-7295
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Fax |
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Provider Business Mailing Address
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Address Line | 13027 VICTORY BLVD # 519
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-2925
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Country | US
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Telephone | 917-821-7295
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DR. ISAAC REICH
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Credential | MD
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Telephone | 917-587-6634
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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 |
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License Number State |
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