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General NPI Number Information
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NPI Number | 1083520977
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Entity Type | Organization
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Legal Business Name | ELITE HEALTHCARE TRAINING ACADEMY LLC
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 555 N EASTERN BLVD
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City | MONTGOMERY
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State | AL
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Zip | 36117-2213
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Country | US
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Telephone | 334-766-0009
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Fax | 334-676-1499
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Provider Business Mailing Address
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Address Line | 555 N EASTERN BLVD
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City | MONTGOMERY
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State | AL
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Zip | 36117-2213
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Country | US
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Telephone | 334-766-0009
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Fax | 334-676-1499
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Authorized Official
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Title or Position | DIRECTOR
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Name | LAKESHIA BROWN
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Credential | BSN-RN
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Telephone | 334-766-0009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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