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General NPI Number Information
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NPI Number | 1720548753
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Entity Type | Individual
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Provider Name | ALEXIS D ELLIOTT PA
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Gender | Female
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 3505 NW ANDERSON HILL RD STE 201
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City | SILVERDALE
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State | WA
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Zip | 98383-9161
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Country | US
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Telephone | 360-698-6859
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Fax | 360-337-7403
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Provider Business Mailing Address
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Address Line | 4700 POINT FOSDICK DR STE 219
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City | GIG HARBOR
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State | WA
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Zip | 98335-1706
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Country | US
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Telephone | 253-851-7733
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Fax | 253-851-8060
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA61592805
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License Number State | WA
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