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General NPI Number Information
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NPI Number | 1376561126
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Entity Type | Individual
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Provider Name | THOMAS J. ELSWORTH
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 10/08/2008
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Provider Practice Location Address
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Address Line | 6936 MEDICAL VIEW LN
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-6602
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Country | US
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Telephone | 813-788-0603
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Fax |
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Provider Business Mailing Address
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Address Line | P.O BOX 406153
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City | ATLANTA
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State | GA
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Zip | 30384-1876
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Country | US
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Telephone | 813-788-0603
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AS895
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License Number State | FL
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