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General NPI Number Information
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NPI Number | 1881333268
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Entity Type | Individual
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Provider Name | ELISSA DEPALINI PERSAUD MSN, RN, ACCNS-AG
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Gender | Female
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Dates
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Enumeration Date | 06/02/2022
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Last Update Date | 06/02/2022
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Provider Practice Location Address
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Address Line | 1000 BELWYCK BLVD APT 1204
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City | LANCASTER
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State | PA
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Zip | 17601-2909
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Country | US
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Telephone | 734-612-5907
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 BELWYCK BLVD APT 1204
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City | LANCASTER
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State | PA
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Zip | 17601-2909
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Country | US
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Telephone | 734-612-5907
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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 | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | CNS000348
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License Number State | PA
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