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General NPI Number Information
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NPI Number | 1881578011
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Entity Type | Individual
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Provider Name | SANDRA ELKINS
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Gender | Female
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 404 SUNBEAM RD
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City | STOLLINGS
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State | WV
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Zip | 25076
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Country | US
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Telephone | 304-928-2416
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3
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City | ETHEL
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State | WV
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Zip | 25076-0003
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Country | US
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Telephone |
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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