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General NPI Number Information
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NPI Number | 1831711936
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Entity Type | Individual
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Provider Name | ELISHEVA ELLENBERG
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Gender | Female
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Dates
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Enumeration Date | 05/12/2020
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Last Update Date | 05/12/2020
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Provider Practice Location Address
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Address Line | 11800 E 12 MILE RD
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City | WARREN
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State | MI
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Zip | 48093-3472
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Country | US
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Telephone | 773-517-7931
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Fax |
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Provider Business Mailing Address
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Address Line | 16986 HILTON ST
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City | SOUTHFIELD
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State | MI
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Zip | 48075-1915
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Country | US
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Telephone | 773-517-7931
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704311157
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License Number State | MI
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