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General NPI Number Information
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NPI Number | 1962936096
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Entity Type | Individual
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Provider Name | ELENA ANN ROUMAYA M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/14/2017
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Last Update Date | 06/13/2024
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Provider Practice Location Address
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Address Line | 42024 AL-195
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City | HALEYVILLE
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State | AL
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Zip | 35565
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Country | US
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Telephone | 205-486-5213
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Fax |
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Provider Business Mailing Address
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Address Line | 6544 SILVIO ST
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City | GARDEN CITY
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State | MI
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Zip | 48135-1631
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Country | US
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Telephone | 734-674-0589
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 48539
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 61637
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License Number State | TN
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