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General NPI Number Information
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NPI Number | 1265224703
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Entity Type | Organization
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Legal Business Name | ELITE SCREENINGS & MORE LLC
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 102 OAK ST
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City | STATESBORO
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State | GA
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Zip | 30458-4852
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Country | US
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Telephone | 844-503-3597
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Fax |
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Provider Business Mailing Address
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Address Line | 102 OAK ST
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City | STATESBORO
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State | GA
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Zip | 30458-4852
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Country | US
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Telephone | 844-503-3597
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MARTISHA HILL
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Credential | PHLEBOTOMIST
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Telephone | 844-503-3597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider 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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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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