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General NPI Number Information
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NPI Number | 1275256323
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Entity Type | Organization
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Legal Business Name | ELITE PSYCHIATRY
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Dates
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Enumeration Date | 09/23/2022
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Last Update Date | 09/23/2022
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Provider Practice Location Address
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Address Line | 3499 LANSDOWNE DR STE 200
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City | LEXINGTON
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State | KY
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Zip | 40517-1154
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Country | US
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Telephone | 859-575-2068
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Fax | 859-575-2032
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Provider Business Mailing Address
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Address Line | 3486 WINTHROP DR
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City | LEXINGTON
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State | KY
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Zip | 40503-4339
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Country | US
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Telephone | 859-312-2004
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JO ANN ELBERT
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Credential | APRN
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Telephone | 859-312-2004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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