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General NPI Number Information
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NPI Number | 1144404625
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Entity Type | Organization
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Legal Business Name | NEAL E ELKIN, MD, PLLC
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Dates
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Enumeration Date | 12/20/2007
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Last Update Date | 03/27/2008
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Provider Practice Location Address
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Address Line | 5301 E HURON RIVER DR
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City | YPSILANTI
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State | MI
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Zip | 48197-1051
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Country | US
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Telephone | 734-712-3456
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 130164
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City | ANN ARBOR
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State | MI
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Zip | 48113-0164
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Country | US
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Telephone | 734-320-6047
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. NEAL EARL ELKIN
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Credential | MD
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Telephone | 734-320-6047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301081609
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License Number State | MI
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