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General NPI Number Information
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NPI Number | 1174102081
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Entity Type | Individual
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Provider Name | ELISA POLANIA DNP, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/07/2021
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 1218 E LANCASTER AVE
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City | BRYN MAWR
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State | PA
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Zip | 19010-2616
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Country | US
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Telephone | 866-389-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 1218 E LANCASTER AVE
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City | BRYN MAWR
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State | PA
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Zip | 19010-2616
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN-NP295051
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 24953
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024193571
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP031243
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License Number State | PA
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