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General NPI Number Information
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NPI Number | 1588691364
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Entity Type | Individual
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Provider Name | ELISHEVA FLINK MD
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Gender | Female
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 12/11/2012
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Provider Practice Location Address
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Address Line | 516 E. NIZHONI BLVD.
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City | GALLUP
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State | NM
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Zip | 87301-1337
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Country | US
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Telephone | 505-722-1000
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Fax | 505-722-1256
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Provider Business Mailing Address
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Address Line | 80 MARCUS DR PROVIDER ENROLLMENT
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City | MELVILLE
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State | NY
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Zip | 11747-4230
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Country | US
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Telephone | 631-391-7887
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Fax | 631-454-4163
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 201650
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License Number State | NY
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