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General NPI Number Information
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NPI Number | 1457582470
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Entity Type | Individual
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Provider Name | ELENA K AMIN MBCHB
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Gender | Female
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Dates
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Enumeration Date | 08/07/2009
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Last Update Date | 09/23/2019
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Provider Practice Location Address
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Address Line | 550 16TH ST FL 5
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City | SAN FRANCISCO
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State | CA
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Zip | 94158-2545
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Country | US
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Telephone | 415-514-1521
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Fax |
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Provider Business Mailing Address
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Address Line | 111 MICHIGAN AVE NW WW3 - CARDIOLOGY
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City | WASHINGTON
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State | DC
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Zip | 20010-2916
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 073744
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 073744
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | MD040435
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 154459
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License Number State | CA
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