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General NPI Number Information
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NPI Number | 1932215837
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Entity Type | Individual
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Provider Name | ELIZABETH FUSELIER ELLIS DNP, APRN, B-C
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Gender | Female
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 307 LIVE OAK ST
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City | MARLIN
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State | TX
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Zip | 76661-2365
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Country | US
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Telephone | 254-803-3561
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Fax | 254-803-6908
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Provider Business Mailing Address
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Address Line | 307 LIVE OAK ST
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City | MARLIN
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State | TX
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Zip | 76661-2365
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Country | US
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Telephone | 254-803-3561
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Fax | 254-803-6908
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 716682
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License Number State | TX
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