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General NPI Number Information
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NPI Number | 1811981996
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Entity Type | Individual
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Provider Name | ELIAS STEPHAN MD
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Gender | Male
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Dates
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Enumeration Date | 09/06/2005
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Last Update Date | 04/24/2023
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Provider Practice Location Address
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Address Line | 15200 SOUTHWEST FWY 230
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City | SUGAR LAND
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State | TX
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Zip | 77478-3845
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Country | US
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Telephone | 281-980-1899
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Fax | 855-360-9600
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Provider Business Mailing Address
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Address Line | PO BOX 18797
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City | SUGAR LAND
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State | TX
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Zip | 77496-8797
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Country | US
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Telephone | 281-980-1899
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Fax | 281-980-1914
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | L4734
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License Number State | TX
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