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General NPI Number Information
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NPI Number | 1912393778
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Entity Type | Individual
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Provider Name | ELYSE CATHERINE DEMERS M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/08/2015
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 1085 N MAIN ST
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City | PROVIDENCE
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State | RI
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Zip | 02904-5719
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Country | US
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Telephone | 401-415-4618
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Fax | 401-415-4348
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Provider Business Mailing Address
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Address Line | 10350 E DAKOTA AVE
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City | DENVER
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State | CO
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Zip | 80247-1314
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | D88294
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207LH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Anesthesiology) Physician
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License Number | DR.0067647
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License Number State | CO
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