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General NPI Number Information
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NPI Number | 1467235770
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Entity Type | Individual
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Provider Name | DANIELLE ELZY NP
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Gender | Female
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Dates
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Enumeration Date | 08/18/2023
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 941 ENTERPRISE AVE APT 32
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City | INGLEWOOD
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State | CA
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Zip | 90302-8333
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Country | US
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Telephone | 832-405-2627
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Fax |
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Provider Business Mailing Address
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Address Line | 8605 SANTA MONICA BLVD # 356982
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-4109
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Country | US
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Telephone | 424-667-5334
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Fax | 424-437-4195
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95026228
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License Number State | CA
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