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General NPI Number Information
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NPI Number | 1184693558
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Entity Type | Individual
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Provider Name | CURTIS JAY ELAM MD
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Gender | Male
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Dates
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Enumeration Date | 03/16/2006
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Last Update Date | 08/12/2020
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Provider Practice Location Address
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Address Line | 1000 CLYBURN PL
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City | AIKEN
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State | SC
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Zip | 29801-4193
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Country | US
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Telephone | 803-380-7000
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Fax | 803-502-4144
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Provider Business Mailing Address
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Address Line | 501 19TH ST. SUITE 401
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City | KNOXVILLE
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State | TN
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Zip | 37916-1839
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Country | US
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Telephone | 865-541-1975
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Fax | 865-541-1976
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD20648
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License Number State | TN
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