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General NPI Number Information
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NPI Number | 1962954065
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Entity Type | Individual
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Provider Name | ELENA MICHELLE GEIST
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Gender | Female
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Dates
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Enumeration Date | 10/25/2016
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Last Update Date | 10/25/2016
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Provider Practice Location Address
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Address Line | 1125 MADRID AVE
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-3915
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Country | US
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Telephone | 386-274-9325
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Fax | 386-236-9621
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Provider Business Mailing Address
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Address Line | 1125 MADRID AVE
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-3915
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Country | US
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Telephone | 386-274-9325
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Fax | 386-236-9621
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | G16000114278
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License Number State | FL
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