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General NPI Number Information
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NPI Number | 1548266422
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Entity Type | Organization
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Legal Business Name | DRS ELIAS & OAKLEY PA
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Dates
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Enumeration Date | 06/24/2005
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Last Update Date | 02/13/2015
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Provider Practice Location Address
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Address Line | 63 E 3RD ST
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City | APOPKA
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State | FL
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Zip | 32703-4235
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Country | US
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Telephone | 407-889-9800
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Fax | 407-889-8910
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Provider Business Mailing Address
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Address Line | 63 E 3RD ST
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City | APOPKA
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State | FL
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Zip | 32703-4235
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Country | US
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Telephone | 407-889-9800
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Fax | 407-889-8910
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. THERESA M OAKLEY
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Credential | D.O.
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Telephone | 407-889-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS8193
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS8194
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License Number State | FL
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