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General NPI Number Information
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NPI Number | 1851402804
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Entity Type | Individual
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Provider Name | ELIZABETH ANDREA MAIER M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 978 2ND ST SUITE 200
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City | LAFAYETTE
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State | CA
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Zip | 94549-4538
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Country | US
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Telephone | 925-962-9960
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Fax | 925-962-9957
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Provider Business Mailing Address
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Address Line | 978 2ND ST SUITE 200
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City | LAFAYETTE
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State | CA
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Zip | 94549-4538
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Country | US
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Telephone | 925-962-9960
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Fax | 925-962-9957
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G039766
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License Number State | CA
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