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General NPI Number Information
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NPI Number | 1497132161
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Entity Type | Individual
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Provider Name | ELISA DEANN BROWN PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 05/01/2015
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Last Update Date | 05/02/2015
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Provider Practice Location Address
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Address Line | 2301 SEVERN AVE B309
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City | METAIRIE
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State | LA
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Zip | 70001-1949
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Country | US
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Telephone | 225-978-8799
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Fax |
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Provider Business Mailing Address
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Address Line | 9287 BATTLE RD
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City | ETHEL
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State | LA
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Zip | 70730-4012
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Country | US
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Telephone | 225-978-8799
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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 | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number |
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License Number State | LA
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