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General NPI Number Information
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NPI Number | 1811965064
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Entity Type | Organization
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Legal Business Name | SHERYLL D ELDER PA
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Dates
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Enumeration Date | 03/12/2006
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Last Update Date | 06/29/2011
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Provider Practice Location Address
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Address Line | 6001 SW 6TH AVE SUITE 310
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City | TOPEKA
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State | KS
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Zip | 66615-1011
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Country | US
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Telephone | 785-271-2299
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Fax | 785-271-2299
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Provider Business Mailing Address
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Address Line | PO BOX 67053
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City | TOPEKA
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State | KS
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Zip | 66667-0053
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Country | US
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Telephone | 785-271-2299
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Fax | 785-271-2296
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Authorized Official
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Title or Position | OWNER
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Name | SHERYLL D ELDER
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Credential | DPM
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Telephone | 785-271-2299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 12-00282
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License Number State | KS
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