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General NPI Number Information
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NPI Number | 1023143161
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Entity Type | Organization
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Legal Business Name | DAVID J ELASKY DDS PA
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7600 PARKLAWN STE 101
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City | EDINA
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State | MN
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Zip | 55435-5125
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Country | US
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Telephone | 952-835-6000
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Fax | 952-835-7679
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Provider Business Mailing Address
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Address Line | 7729 TANGLEWOOD COURT
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City | EDINA
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State | MN
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Zip | 55439-2565
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Country | US
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Telephone | 952-941-3637
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Fax | 952-941-3737
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID J ELASKY
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Credential | DDS
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Telephone | 952-835-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 7863
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License Number State | MN
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