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General NPI Number Information
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NPI Number | 1235848946
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Entity Type | Organization
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Legal Business Name | ELITE HOUSECALLS LLC
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Dates
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Enumeration Date | 11/21/2022
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Last Update Date | 09/15/2023
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Provider Practice Location Address
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Address Line | 2680 MASONVILLE BEVERLY RD
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City | HOPKINSVILLE
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State | KY
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Zip | 42240-9394
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Country | US
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Telephone | 270-484-9984
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Fax | 270-569-3256
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Provider Business Mailing Address
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Address Line | 2680 MASONVILLE BEVERLY RD
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City | HOPKINSVILLE
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State | KY
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Zip | 42240-9394
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Country | US
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Telephone | 270-484-9984
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Fax | 270-569-3256
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Authorized Official
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Title or Position | OWNER
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Name | ROBBIN BALDWIN
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Credential | NP
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Telephone | 270-484-9984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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