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General NPI Number Information
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NPI Number | 1063244168
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Entity Type | Individual
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Provider Name | ELISA ADELPHIN PT
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Gender | Female
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Dates
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Enumeration Date | 08/16/2024
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 1933 HOFFMAN RD STE 6
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City | GASTONIA
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State | NC
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Zip | 28054-7525
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Country | US
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Telephone | 980-677-3026
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Fax |
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Provider Business Mailing Address
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Address Line | 156 HIGH POINT AVE
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City | DRESHER
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State | PA
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Zip | 19025-1928
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Country | US
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Telephone | 954-594-3779
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305216642
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1403536
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P24168
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License Number State | NC
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