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General NPI Number Information
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NPI Number | 1023822087
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Entity Type | Organization
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Legal Business Name | ELIAA, LLC
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Dates
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Enumeration Date | 02/01/2025
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Last Update Date | 02/01/2025
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Provider Practice Location Address
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Address Line | 17520 BROWN ST
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City | PERRIS
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State | CA
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Zip | 92570-9110
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Country | US
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Telephone | 650-656-7941
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Fax |
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Provider Business Mailing Address
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Address Line | 2985 LA VISTA AVE
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City | CORONA
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State | CA
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Zip | 92879-1273
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Country | US
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Telephone | 650-656-7941
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | AMIRRA YOUNES
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Credential |
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Telephone | 650-656-7941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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