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General NPI Number Information
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NPI Number | 1831234921
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Entity Type | Individual
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Provider Name | ELKE ELISABETH TIMLIN B.S.
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Gender | Female
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 450 W 6TH ST
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City | YUMA
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State | AZ
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Zip | 85364-2973
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Country | US
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Telephone | 928-344-6856
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Fax | 928-344-6930
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Provider Business Mailing Address
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Address Line | 1609 S PENDERGAST AVE
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City | YUMA
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State | AZ
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Zip | 85364-5117
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Country | US
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Telephone | 928-783-0275
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLPL1402
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License Number State | AZ
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