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General NPI Number Information
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NPI Number | 1710278155
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Entity Type | Organization
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Legal Business Name | ELIAS ASHAME MD PLLC
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Dates
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Enumeration Date | 04/19/2011
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Last Update Date | 04/19/2011
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Provider Practice Location Address
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Address Line | 5306 MILLSTONE CT
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City | BELMONT
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State | NC
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Zip | 28012-7528
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Country | US
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Telephone | 980-329-3495
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1677
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City | BELMONT
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State | NC
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Zip | 28012-1677
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Country | US
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Telephone | 980-329-3495
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ELIAS S ASHAME
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Credential | MD
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Telephone | 980-329-3495
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 01064252A
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License Number State | IN
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