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General NPI Number Information
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NPI Number | 1265992739
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Entity Type | Individual
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Provider Name | ELAINE LELLI MD
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Gender | Female
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Dates
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Enumeration Date | 03/21/2019
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 901 RIVERFRONT PKWY STE 100
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City | CHATTANOOGA
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State | TN
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Zip | 37402-2193
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Country | US
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Telephone | 423-778-3512
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Fax |
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Provider Business Mailing Address
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Address Line | 163 HOSPITAL DR
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City | TOCCOA
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State | GA
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Zip | 30577-6820
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Country | US
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Telephone | 706-282-4200
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Fax | 706-955-0691
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 100998
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 72122
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License Number State | TN
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