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General NPI Number Information
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NPI Number | 1740213115
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Entity Type | Individual
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Provider Name | VINCENT R ELIE M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 06/17/2011
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Provider Practice Location Address
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Address Line | 211 E MIDDLE ST
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City | CHELSEA
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State | MI
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Zip | 48118-1034
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Country | US
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Telephone | 734-417-7054
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Fax |
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Provider Business Mailing Address
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Address Line | 211 E MIDDLE ST
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City | CHELSEA
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State | MI
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Zip | 48118-1034
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Country | US
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Telephone | 734-417-7054
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | VE057786
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | VE057786
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License Number State | MI
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