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General NPI Number Information
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NPI Number | 1073988242
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Entity Type | Organization
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Legal Business Name | DAVID ELMER MD PC
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Dates
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Enumeration Date | 12/14/2015
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Last Update Date | 10/12/2018
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Provider Practice Location Address
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Address Line | 60A PARK ST
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City | HYANNIS
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State | MA
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Zip | 02601-5231
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Country | US
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Telephone | 508-771-4100
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Fax | 508-771-4117
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Provider Business Mailing Address
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Address Line | 60A PARK ST
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City | HYANNIS
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State | MA
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Zip | 02601-5231
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Country | US
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Telephone | 508-771-4100
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Fax | 508-771-4117
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID B ELMER
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Credential | M.D.
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Telephone | 508-771-4100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 56359
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License Number State | MA
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