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General NPI Number Information
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NPI Number | 1811400070
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Entity Type | Organization
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Legal Business Name | ELIZUR CORPORATION
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Dates
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Enumeration Date | 11/09/2017
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Last Update Date | 11/09/2017
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Provider Practice Location Address
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Address Line | 362 AMERICAN WAY
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City | WEIRTON
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State | WV
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Zip | 26062-4083
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Country | US
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Telephone | 844-628-8813
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Fax | 800-933-1356
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Provider Business Mailing Address
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Address Line | 9800A MCKNIGHT RD STE 200
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City | PITTSBURGH
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State | PA
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Zip | 15237-6032
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Country | US
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Telephone | 412-358-4523
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Fax | 412-358-4518
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Authorized Official
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Title or Position | BUSINESS SUPPORT MANAGER
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Name | BRENDA ROBERTS
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Credential |
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Telephone | 412-358-4523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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