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General NPI Number Information
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NPI Number | 1053267617
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Entity Type | Organization
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Legal Business Name | ELITE ACADEMIC ACADEMY - MOUNTAIN EMPIRE
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Dates
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Enumeration Date | 03/06/2026
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 43414 BUSINESS PARK DR
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City | TEMECULA
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State | CA
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Zip | 92590-5526
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Country | US
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Telephone | 951-583-1520
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Fax |
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Provider Business Mailing Address
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Address Line | 43414 BUSINESS PARK DR
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City | TEMECULA
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State | CA
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Zip | 92590-5526
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Country | US
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Telephone | 951-583-1520
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Fax |
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Authorized Official
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Title or Position | CHIEF ACADEMIC OFFICER
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Name | LAURA SPENCER
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Credential |
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Telephone | 951-583-1520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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