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General NPI Number Information
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NPI Number | 1649599465
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Entity Type | Individual
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Provider Name | ELIZABETH EVE ELDER PHD, LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 05/18/2010
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 270 KILGORE LANE OFFICE 2109
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City | TUSCALOOSA
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State | AL
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Zip | 35487-4441
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Country | US
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Telephone | 205-348-7320
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Fax |
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Provider Business Mailing Address
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Address Line | 270 KILGORE LANE BOX 870325
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City | TUSCALOOSA
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State | AL
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Zip | 35487-0001
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Country | US
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Telephone | 704-576-1393
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 1658
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License Number State | AL
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