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General NPI Number Information
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NPI Number | 1427329291
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Entity Type | Organization
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Legal Business Name | WILLIAM ELSTEIN MD PA
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Dates
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Enumeration Date | 01/25/2012
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Last Update Date | 01/25/2012
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Provider Practice Location Address
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Address Line | 3920 BEE RIDGE RD BLDG. H, STE. K
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City | SARASOTA
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State | FL
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Zip | 34233-1207
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Country | US
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Telephone | 941-923-5455
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Fax | 941-925-3257
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Provider Business Mailing Address
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Address Line | 3920 BEE RIDGE RD BLDG. H, STE. K
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City | SARASOTA
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State | FL
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Zip | 34233-1207
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM ELSTEIN
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Credential | M.D.
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Telephone | 941-923-5455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | ME0026682
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License Number State | FL
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