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General NPI Number Information
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NPI Number | 1437879392
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Entity Type | Individual
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Provider Name | ELI S MAUKSCH DNP
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Gender | Male
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Dates
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Enumeration Date | 08/31/2022
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 2577 MAIN AVE
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City | DURANGO
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State | CO
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Zip | 81301-5919
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Country | US
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Telephone | 970-247-8382
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Fax |
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Provider Business Mailing Address
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Address Line | 2577 MAIN AVE
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City | DURANGO
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State | CO
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Zip | 81301-5919
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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 |
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN60991461
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 70960
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.1000530-NP
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License Number State | CO
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