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General NPI Number Information
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NPI Number | 1821688821
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Entity Type | Individual
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Provider Name | MAKENZIE SUSANNE ELLIOTT RN
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Gender | Female
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Dates
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Enumeration Date | 01/22/2021
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Last Update Date | 01/22/2021
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Provider Practice Location Address
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Address Line | 711 NEW LEICESTER HWY
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City | ASHEVILLE
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State | NC
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Zip | 28806-1048
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Country | US
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Telephone | 828-253-3717
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Fax |
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Provider Business Mailing Address
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Address Line | 400 PALISADES CIR APT 306
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City | ASHEVILLE
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State | NC
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Zip | 28803-0085
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Country | US
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Telephone | 828-460-4260
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Fax |
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 330032
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License Number State | NC
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