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General NPI Number Information
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NPI Number | 1700967098
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Entity Type | Individual
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Provider Name | JOSEPH ELISHA MD
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Gender | Male
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 05/09/2016
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Provider Practice Location Address
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Address Line | 1180 N INDIAN CANYON DR SUITE 100
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4800
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Country | US
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Telephone | 800-883-6027
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Fax |
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Provider Business Mailing Address
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Address Line | 777 E TAHQUITZ CANYON WAY SUITE 200-81
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City | PALM SPRINGS
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State | CA
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Zip | 92262-6784
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Country | US
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Telephone | 800-883-6027
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | G79062
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G79062
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License Number State | CA
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