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General NPI Number Information
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NPI Number | 1164692380
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Entity Type | Individual
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Provider Name | MRS. ELEANOR ROSE NEAL-EHANIRE
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Gender | Female
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | 205 YOAKUM COURT, 2#1016
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City | ALEXANDRA
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State | VA
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Zip | 22304
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Country | US
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Telephone | 703-888-0217
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Fax | 703-286-7514
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Provider Business Mailing Address
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Address Line | 6955 SPINNING SEED
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City | COLUMBIA
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State | MD
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Zip | 21045-5314
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Country | US
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Telephone | 443-832-4357
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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