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General NPI Number Information
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NPI Number | 1003307307
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Entity Type | Organization
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Legal Business Name | ELITE TECHNICAL CARE LLC
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Dates
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Enumeration Date | 05/22/2018
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Last Update Date | 05/26/2022
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Provider Practice Location Address
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Address Line | 27789 MOUND RD STE 400
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City | WARREN
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State | MI
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Zip | 48092-2900
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Country | US
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Telephone | 844-512-6609
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Fax |
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Provider Business Mailing Address
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Address Line | 27789 MOUND RD STE 400
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City | WARREN
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State | MI
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Zip | 48092-2900
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Country | US
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Telephone | 844-512-6609
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Fax |
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | MR. DAVID HAKKI
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Credential |
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Telephone | 313-319-8924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246Y00000X
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Taxonomy Name | Health Information Specialist/Technologist
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License Number |
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License Number State |
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