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General NPI Number Information
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NPI Number | 1982135273
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Entity Type | Individual
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Provider Name | DANIELLE RACHEL ISEN D.O.
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Gender | Female
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Dates
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Enumeration Date | 03/27/2017
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 601 PROVIDENCE PARK DR E
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City | MOBILE
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State | AL
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Zip | 36695-4617
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Country | US
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Telephone | 251-990-3937
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Fax | 251-990-9990
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Provider Business Mailing Address
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Address Line | 601 PROVIDENCE PARK DR E
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City | MOBILE
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State | AL
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Zip | 36695-4617
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Country | US
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Telephone | 251-990-3937
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Fax | 251-990-9990
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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 | 207WX0109X
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Taxonomy Name | Neuro-ophthalmology Physician
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License Number | DO.1924
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | DO.1924
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License Number State | AL
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