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General NPI Number Information
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NPI Number | 1346245560
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Entity Type | Individual
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Provider Name | NEVEEN A. ELKHOLY D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/15/2005
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 1000 S ELMORA AVE
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City | ELIZABETH
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State | NJ
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Zip | 07202-3100
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Country | US
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Telephone | 908-737-5703
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 740021
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City | ATLANTA
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State | GA
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Zip | 30374-0021
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Country | US
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Telephone | 773-352-1515
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MB07428300
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License Number State | NJ
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