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General NPI Number Information
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NPI Number | 1780179812
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Entity Type | Individual
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Provider Name | ELIZABETH PAGE KISER DO
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Gender | Female
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Dates
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Enumeration Date | 07/01/2018
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Last Update Date | 08/09/2021
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Provider Practice Location Address
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Address Line | 840 W FLOYD BAKER BLVD
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City | GAFFNEY
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State | SC
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Zip | 29341-1845
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Country | US
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Telephone | 864-489-3300
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Fax | 864-488-3744
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Provider Business Mailing Address
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Address Line | PO BOX 277723
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City | ATLANTA
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State | GA
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Zip | 30384-7723
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Country | US
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Telephone | 864-560-6000
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | LL52075
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 52075
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License Number State | SC
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