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General NPI Number Information
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NPI Number | 1235836495
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Entity Type | Organization
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Legal Business Name | ELITE HEALTH & WELLNESS LLC
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Dates
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Enumeration Date | 02/08/2023
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Last Update Date | 02/08/2023
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Provider Practice Location Address
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Address Line | 6404 ROOSEVELT BLVD SUITE 1C-3
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City | PHILADELPHIA
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State | PA
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Zip | 19149
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Country | US
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Telephone | 267-788-1789
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Fax | 215-437-1407
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Provider Business Mailing Address
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Address Line | 6404 ROOSEVELT BLVD SUITE 1C-3
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City | PHILADELPHIA
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State | PA
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Zip | 19149
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Country | US
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Telephone | 267-788-1789
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Fax | 215-437-1407
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | STEPHEN MICHAEL RIOS
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Credential |
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Telephone | 267-788-1789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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