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General NPI Number Information
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NPI Number | 1699087940
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Entity Type | Individual
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Provider Name | ELIZABETH NANSI SILEU RPH
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Gender | Female
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 08/26/2010
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Provider Practice Location Address
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Address Line | 2004 VICTORY BLVD
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City | PORTSMOUTH
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State | VA
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Zip | 23702-2642
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Country | US
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Telephone | 757-487-9208
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Fax | 757-487-3169
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Provider Business Mailing Address
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Address Line | 4412 ANCHOR BEND CT
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City | CHESAPEAKE
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State | VA
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Zip | 23321-1977
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Country | US
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Telephone | 757-488-5683
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Fax | 757-488-5683
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202012062
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License Number State | VA
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