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General NPI Number Information
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NPI Number | 1013873660
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Entity Type | Organization
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Legal Business Name | ELITE MOBILE DOT SERVICES
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 1530 EVANS ST STE 108
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City | GREENVILLE
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State | NC
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Zip | 27834-5301
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Country | US
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Telephone | 833-762-2767
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Fax |
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Provider Business Mailing Address
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Address Line | 2120 E FIRE TOWER RD STE 107
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City | GREENVILLE
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State | NC
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Zip | 27858-5512
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Country | US
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Telephone | 833-762-2767
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Fax | 252-565-0554
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Authorized Official
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Title or Position | OWNER
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Name | BRIANTE HALL
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Credential |
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Telephone | 833-762-2767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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