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General NPI Number Information
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NPI Number | 1740695949
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Entity Type | Individual
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Provider Name | ELIZABETH EWING MD
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Gender | Female
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Dates
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Enumeration Date | 06/25/2014
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 8738 ORTEGA PARK DR
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City | NAVARRE
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State | FL
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Zip | 32566-4139
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Country | US
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Telephone | 850-934-5776
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Fax | 850-710-7140
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Provider Business Mailing Address
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Address Line | 4951 GRANDE DR
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City | PENSACOLA
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State | FL
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Zip | 32504-8965
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Country | US
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Telephone | 850-473-0100
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Fax | 850-473-0500
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME153130
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License Number State | FL
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