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General NPI Number Information
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NPI Number | 1902063852
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Entity Type | Individual
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Provider Name | ELISA MARIE DANNEMILLER MD
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Gender | Female
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 2269 S ORCHARD ST
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City | LAKEWOOD
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State | CO
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Zip | 80228-6471
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Country | US
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Telephone | 703-201-2295
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Fax | 719-350-3209
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Provider Business Mailing Address
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Address Line | 2269 S ORCHARD ST
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City | LAKEWOOD
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State | CO
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Zip | 80228-6471
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Country | US
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Telephone | 703-201-2295
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Fax | 719-350-3209
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 33055
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2733
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | D0102370
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License Number State | MD
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