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Individual
ELIZABETH ENCARNACION
Active
Individual
ELIZABETH ENCARNACION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA101687
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110222328A
—
MA
Enumeration date
05/07/2025
Last updated
09/03/2025
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