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General NPI Number Information
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NPI Number | 1235363102
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Entity Type | Individual
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Provider Name | ELISABETH MARIE DENKER RN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/07/2009
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Last Update Date | 08/11/2010
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Provider Practice Location Address
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Address Line | 290 BALDWIN AVE
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City | SAN MATEO
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State | CA
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Zip | 94401
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Country | US
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Telephone | 650-343-4597
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Fax | 650-343-3402
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Provider Business Mailing Address
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Address Line | 290 BALDWIN AVE
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City | SAN MATEO
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State | CA
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Zip | 94401
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Country | US
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Telephone | 650-343-4597
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Fax | 650-343-3402
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 693752
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License Number State | CA
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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 | 18027
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License Number State | CA
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