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General NPI Number Information
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NPI Number | 1609338441
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Entity Type | Individual
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Provider Name | ELEANOR ELISE BJERKEN DO
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Gender | Female
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Dates
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Enumeration Date | 04/02/2019
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 4000 HIGHWAY 9 E
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City | LITTLE RIVER
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State | SC
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Zip | 29566-7833
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Country | US
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Telephone | 433-999-7748
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Fax |
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Provider Business Mailing Address
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Address Line | 3980 HIGHWAY 9 E STE 220
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City | LITTLE RIVER
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State | SC
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Zip | 29566-8164
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Country | US
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Telephone | 433-999-7748
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 91480
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License Number State | SC
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