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General NPI Number Information
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NPI Number | 1871889576
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Entity Type | Individual
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Provider Name | ELIZABETH JANE MICHAEL MD
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Gender | Female
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Dates
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Enumeration Date | 06/22/2011
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 777 HEMLOCK ST
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City | MACON
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State | GA
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Zip | 31201-2102
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Country | US
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Telephone | 478-633-1000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 535744
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City | ATLANTA
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State | GA
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Zip | 30353-5510
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Country | US
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Telephone | 844-294-5114
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Fax | 865-691-0843
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 51388
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0101284249
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 102182
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License Number State | GA
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