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NPI 1922483551

NPI 1922483551 : MARGARET ROSE ELSNER PA-C : EVANSVILLE, IN

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General NPI Number Information
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    NPI Number           |    1922483551
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    Entity Type          |    Individual 
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    Provider Name        |    MARGARET ROSE ELSNER PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/24/2015
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    Last Update Date     |    03/05/2024
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Provider Practice Location Address
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    Address Line         |    520 MARY ST STE 520 
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    City                 |    EVANSVILLE
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    State                |    IN
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    Zip                  |    47710-1682
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    Country              |    US
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    Telephone            |    812-424-8231
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    Fax                  |    812-435-8794
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Provider Business Mailing Address
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    Address Line         |    520 MARY ST STE 520
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    City                 |    EVANSVILLE
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    State                |    IN
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    Zip                  |    47710-1682
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    Country              |    US
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    Telephone            |    812-424-8231
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    Fax                  |    812-435-8794
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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        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    10001940
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    License Number State |    IN
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