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General NPI Number Information
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NPI Number | 1306835145
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Entity Type | Individual
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Provider Name | ELIE PAUL ELOVIC MD
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Gender | Male
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Dates
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Enumeration Date | 10/14/2005
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Last Update Date | 05/19/2020
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Provider Practice Location Address
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Address Line | 1495 MILL ST
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City | RENO
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State | NV
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Zip | 89502-1479
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Country | US
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Telephone | 775-982-3500
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Fax | 775-982-3665
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Provider Business Mailing Address
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Address Line | 101 E OLNEY AVENUE SUITE 400
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City | PHILADELPHIA
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State | PA
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Zip | 19120-2421
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Country | US
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Telephone | 215-456-7000
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Fax | 215-456-5926
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 16186
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 25MA05971300
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | MD032799E
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 7277536-1205
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License Number State | UT
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Taxonomy #5
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 35134992
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License Number State | OH
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