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General NPI Number Information
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NPI Number | 1972569556
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Entity Type | Individual
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Provider Name | MASIE VOY ISABELL MD
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Gender | Female
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Dates
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Enumeration Date | 04/24/2006
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Last Update Date | 08/08/2017
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Provider Practice Location Address
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Address Line | 2559 W 79TH ST
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City | CHICAGO
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State | IL
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Zip | 60652-1751
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Country | US
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Telephone | 773-737-9555
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Fax | 773-737-0401
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Provider Business Mailing Address
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Address Line | 2559 W. 79TH STREET
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City | CHICAGO
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State | IL
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Zip | 60652-1751
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Country | US
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Telephone | 773-737-9555
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Fax | 773-737-0401
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036.057667
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License Number State | IL
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