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General NPI Number Information
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NPI Number | 1427062405
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Entity Type | Individual
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Provider Name | MARTHA K ELIAS MD
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Gender | Female
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 01/28/2016
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER DR DHMC SECTION OF ALLERGY AND IMMUNOLOGY
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City | LEBANON
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State | NH
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Zip | 03756-1000
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Country | US
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Telephone | 603-653-9885
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Fax |
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Provider Business Mailing Address
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Address Line | 1 MEDICAL CENTER DR DHMC SECTION OF ALLERGY AND IMMUNOLOGY
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City | LEBANON
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State | NH
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Zip | 03756-1000
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Country | US
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Telephone | 603-653-9885
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 48658
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | 48658
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 15375
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License Number State | NH
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Taxonomy #4
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | 15375
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License Number State | NH
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