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General NPI Number Information
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NPI Number | 1518833623
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Entity Type | Organization
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Legal Business Name | ELM ENDOCRINOLOGY AND LIFESTYLE MEDICINE PLLC
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 3438 W WANDER RD
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City | NEW RIVER
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State | AZ
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Zip | 85087-8280
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Country | US
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Telephone | 602-339-1653
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Fax |
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Provider Business Mailing Address
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Address Line | 3438 W WANDER RD
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City | NEW RIVER
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State | AZ
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Zip | 85087-8280
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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 | FOUNDER
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Name | ASHLYN SMITH
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Credential | PA-C
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Telephone | 602-339-1653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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