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General NPI Number Information
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NPI Number | 1982972873
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Entity Type | Individual
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Provider Name | ELAINA BEISSER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/06/2011
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Last Update Date | 12/28/2022
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Provider Practice Location Address
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Address Line | 977 HIGHWAY 98 E
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City | DESTIN
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State | FL
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Zip | 32541-2801
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Country | US
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Telephone | 850-650-4538
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Fax | 850-650-9579
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Provider Business Mailing Address
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Address Line | 8220 NAVARRE PKWY
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City | NAVARRE
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State | FL
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Zip | 32566-6943
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Country | US
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Telephone | 850-936-4302
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Fax | 850-936-4358
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS44305
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License Number State | FL
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