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General NPI Number Information
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NPI Number | 1255101366
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Entity Type | Organization
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Legal Business Name | ELITE MEDICAL RESPONSE LLC
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Dates
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Enumeration Date | 01/09/2024
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 101413 OVERSEAS HWY
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City | KEY LARGO
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State | FL
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Zip | 33037-4504
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Country | US
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Telephone | 786-478-6064
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Fax |
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Provider Business Mailing Address
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Address Line | 101413 OVERSEAS HWY
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City | KEY LARGO
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State | FL
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Zip | 33037-4504
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | JOEL KESTENBAUM
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Credential |
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Telephone | 718-963-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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