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General NPI Number Information
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NPI Number | 1801180534
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Entity Type | Individual
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Provider Name | YUKLI ELLIOTT M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/28/2011
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Last Update Date | 11/02/2020
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Provider Practice Location Address
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Address Line | 5115 BERNARD DR STE 201
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City | ROANOKE
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State | VA
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Zip | 24018
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Country | US
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Telephone | 540-345-0289
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Fax | 540-345-9569
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Provider Business Mailing Address
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Address Line | 5115 BERNARD DR STE 201
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City | ROANOKE
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State | VA
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Zip | 24018-4367
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Country | US
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Telephone | 540-345-0289
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Fax | 540-345-9569
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 108004
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | P26489
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 84916
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0101266020
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License Number State | VA
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