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General NPI Number Information
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NPI Number | 1073862363
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Entity Type | Individual
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Provider Name | CARLEY JO ELSWICK FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/03/2012
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 1100 MAIN ST STE 104
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City | WHEELING
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State | WV
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Zip | 26003-2737
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Country | US
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Telephone | 681-821-2053
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Fax |
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Provider Business Mailing Address
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Address Line | 975 ROSTRAVER RD
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City | ROSTRAVER TOWNSHIP
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State | PA
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Zip | 15012-1946
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Country | US
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Telephone | 866-389-2727
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Fax | 401-216-3857
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP012322
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN70488
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License Number State | WV
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