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General NPI Number Information
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NPI Number | 1215043443
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Entity Type | Individual
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Provider Name | ELYSE GAIL EISER RN, CNM, RNP
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Gender | Female
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 16051 KASOTA RD SUITE 400
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City | APPLE VALLEY
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State | CA
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Zip | 92307-2215
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Country | US
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Telephone | 760-946-8169
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Fax |
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Provider Business Mailing Address
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Address Line | 16051 KASOTA RD SUITE 400
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City | APPLE VALLEY
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State | CA
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Zip | 92307-2215
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Country | US
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Telephone | 760-946-8169
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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 | 163WP1700X
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Taxonomy Name | Perinatal Registered Nurse
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License Number | NMW436
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License Number State | CA
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