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General NPI Number Information
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NPI Number | 1053973347
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Entity Type | Organization
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Legal Business Name | ELITE HOME HEALTH OF CENTRAL FLORIDA
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Dates
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Enumeration Date | 07/08/2019
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Last Update Date | 10/26/2020
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Provider Practice Location Address
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Address Line | 4401 VINELAND RD STE A13
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City | ORLANDO
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State | FL
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Zip | 32811-7215
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Country | US
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Telephone | 407-440-2936
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Fax | 407-440-2939
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Provider Business Mailing Address
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Address Line | 4401 VINELAND RD STE A13
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City | ORLANDO
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State | FL
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Zip | 32811-7215
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Country | US
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Telephone | 407-440-2936
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Fax | 407-440-2939
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Authorized Official
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Title or Position | CFO
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Name | ANNA BOGUSLAVSKY
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Credential | MBA
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Telephone | 973-760-1514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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