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General NPI Number Information
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NPI Number | 1811139058
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Entity Type | Organization
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Legal Business Name | ELIZABETH L. MITCHELL MD PA
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Dates
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Enumeration Date | 04/02/2009
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Last Update Date | 04/02/2009
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Provider Practice Location Address
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Address Line | 11124 WURZBACH RD STE 300
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City | SAN ANTONIO
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State | TX
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Zip | 78230-2445
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Country | US
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Telephone | 210-694-2438
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Fax | 210-694-2439
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Provider Business Mailing Address
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Address Line | 11124 WURZBACH RD STE 300
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City | SAN ANTONIO
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State | TX
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Zip | 78230-2445
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Country | US
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Telephone | 210-694-2438
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Fax | 210-694-2439
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Authorized Official
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Title or Position | OWNER
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Name | DR. ELIZABETH L. MITCHELL
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Credential | M.D.
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Telephone | 210-694-2438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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