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General NPI Number Information
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NPI Number | 1487022182
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Entity Type | Individual
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Provider Name | DANA ELLIOTT N.P.
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Gender | Female
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Dates
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Enumeration Date | 09/11/2015
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Last Update Date | 05/27/2016
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Provider Practice Location Address
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Address Line | 3743 BOETTLER OAKS DR SUITE E
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City | UNIONTOWN
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State | OH
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Zip | 44685-6227
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Country | US
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Telephone | 330-899-9100
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Fax | 330-899-2679
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Provider Business Mailing Address
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Address Line | 3743 BOETTLER OAKS DR SUITE E
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City | UNIONTOWN
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State | OH
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Zip | 44685-6227
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Country | US
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Telephone | 330-899-9100
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Fax | 330-899-2679
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | COA 17992
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License Number State | OH
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