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General NPI Number Information
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NPI Number | 1467428995
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Entity Type | Individual
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Provider Name | DAVID LEE ELSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/24/2006
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Last Update Date | 05/19/2014
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Provider Practice Location Address
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Address Line | 1000 E. 23RD ST. STE. 230
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City | SIOUX FALLS
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State | SD
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Zip | 57105-2122
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Country | US
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Telephone | 605-322-6900
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Fax | 605-322-6901
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Provider Business Mailing Address
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Address Line | 2400 S. MINNESOTA AVE. STE. 100
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City | SIOUX FALLS
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State | SD
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Zip | 57105-3762
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Country | US
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Telephone | 605-322-7510
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Fax | 605-322-6475
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 2513
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License Number State | SD
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