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General NPI Number Information
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NPI Number | 1427459601
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Entity Type | Organization
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Legal Business Name | ANTHONY R ELIAS MD AND CHRISTINE C TAM MD LLC
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Dates
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Enumeration Date | 09/08/2014
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 7171 ROYALTON RD # 200
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City | NORTH ROYALTON
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State | OH
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Zip | 44133-4818
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Country | US
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Telephone | 440-582-3010
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Fax | 440-338-4219
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Provider Business Mailing Address
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Address Line | PO BOX 1060
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City | CHESTERLAND
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State | OH
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Zip | 44026-1060
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Country | US
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Telephone | 440-582-3010
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Fax | 440-338-4219
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | ANTHONY ELIAS
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Credential |
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Telephone | 440-582-3010
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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 |
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License Number State |
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