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General NPI Number Information
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NPI Number | 1912613506
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Entity Type | Organization
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Legal Business Name | ELIZABETH ELKINSON M.D. PLLC
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Dates
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Enumeration Date | 01/26/2023
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Last Update Date | 01/26/2023
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Provider Practice Location Address
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Address Line | 3217 SUMMIT PLACE SUITE 150
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City | LEXINGTON
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State | KY
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Zip | 40509-2363
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Country | US
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Telephone | 859-475-5050
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Fax | 859-721-1202
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Provider Business Mailing Address
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Address Line | 520 SAYRE AVE
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City | LEXINGTON
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State | KY
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Zip | 40508-2316
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Country | US
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Telephone | 859-537-2514
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Fax | 859-721-1202
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. ELIZABETH KEITH ELKINSON
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Credential | M.D.
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Telephone | 859-537-2514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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