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General NPI Number Information
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NPI Number | 1225837040
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Entity Type | Organization
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Legal Business Name | ELITE FAMILY HEALTHCARE
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 03/29/2025
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Provider Practice Location Address
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Address Line | 101 MAPLE ST S STE A
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City | AHOSKIE
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State | NC
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Zip | 27910-3452
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Country | US
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Telephone | 252-209-1450
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Fax |
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Provider Business Mailing Address
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Address Line | 317 BONNER BRIDGE RD
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City | AULANDER
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State | NC
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Zip | 27805-9227
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Country | US
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Telephone | 252-209-1450
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Fax |
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Authorized Official
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Title or Position | OWNER, ADMINSTRATOR
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Name | TENEAL VAUGHAN MITCHELL
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Credential | RN, BSN
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Telephone | 252-209-1450
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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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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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