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General NPI Number Information
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NPI Number | 1255897880
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Entity Type | Individual
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Provider Name | ELI DYLAN BRESS DO
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Gender | Male
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Dates
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Enumeration Date | 02/19/2019
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 4315 DIPLOMACY DR
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City | ANCHORAGE
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State | AK
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Zip | 99508-5926
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Country | US
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Telephone | 907-729-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 8137 SOCKEYE LOOP
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City | ANCHORAGE
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State | AK
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Zip | 99507-3201
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Country | US
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Telephone | 724-456-6818
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 25MB11391800
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License Number State | NJ
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