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General NPI Number Information
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NPI Number | 1013628650
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Entity Type | Organization
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Legal Business Name | ELITE MEDTRANS LLC
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Dates
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Enumeration Date | 12/05/2022
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 160 S OLD SPRINGS RD STE 100-D
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City | ANAHEIM
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State | CA
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Zip | 92808-1260
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Country | US
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Telephone | 714-989-3150
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Fax | 714-602-6855
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Provider Business Mailing Address
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Address Line | 160 S OLD SPRINGS RD STE 100-D
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City | ANAHEIM
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State | CA
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Zip | 92808-1260
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Country | US
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Telephone | 714-989-3150
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Fax | 714-602-6855
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Authorized Official
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Title or Position | CO-OWNER
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Name | MOHAMED MANSOUR
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Credential |
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Telephone | 714-989-3150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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