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General NPI Number Information
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NPI Number | 1417499609
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Entity Type | Organization
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Legal Business Name | PATRICIA ELEY, L.E., CPE
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Dates
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Enumeration Date | 11/06/2016
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Last Update Date | 11/06/2016
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Provider Practice Location Address
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Address Line | 701 HIGH ST STE 201
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City | AUBURN
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State | CA
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Zip | 95603-4734
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Country | US
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Telephone | 530-613-0462
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Fax |
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Provider Business Mailing Address
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Address Line | 701 HIGH ST STE 201
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City | AUBURN
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State | CA
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Zip | 95603-4734
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Country | US
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Telephone | 530-613-0462
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Fax |
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Authorized Official
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Title or Position | ELECTROLOGIST
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Name | MS. PATRICIA SUE ELEY
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Credential | L.E.,C.P.E
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Telephone | 530-613-0462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number | L7332
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License Number State | CA
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