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General NPI Number Information
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NPI Number | 1568504017
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Entity Type | Individual
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Provider Name | PAUL MICHAEL ELKIN DDS
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Gender | Male
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 10/08/2015
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Provider Practice Location Address
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Address Line | 650 N CARRIAGE PKWY #60
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City | WICHITA
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State | KS
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Zip | 67208-4507
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Country | US
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Telephone | 316-686-2721
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Fax | 316-686-2744
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Provider Business Mailing Address
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Address Line | 650 N CARRIAGE PKWY #60
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City | WICHITA
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State | KS
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Zip | 67208-4507
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Country | US
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Telephone | 316-686-2721
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Fax | 316-686-2744
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 50045841
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 61114
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License Number State | KS
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