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General NPI Number Information
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NPI Number | 1104713320
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Entity Type | Organization
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Legal Business Name | ELITE IVF SOLUTIONS
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 1609 TOWN CENTER BLVD
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City | WESTON
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State | FL
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Zip | 33326-3638
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Country | US
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Telephone | 954-999-5955
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Fax |
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Provider Business Mailing Address
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Address Line | 1609 TOWN CENTER BLVD
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City | WESTON
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State | FL
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Zip | 33326-3638
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Country | US
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Telephone | 954-999-5955
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Fax |
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Authorized Official
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Title or Position | CLINICAL OPERATIONS MANAGER
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Name | ROBIN SCOTT
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Credential |
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Telephone | 317-861-8419
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number |
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License Number State |
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