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General NPI Number Information
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NPI Number | 1275760969
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Entity Type | Organization
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Legal Business Name | ELITE MEDICAL TEAM, INC.
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Dates
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Enumeration Date | 06/19/2009
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Last Update Date | 03/15/2017
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Provider Practice Location Address
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Address Line | 155 E GODFREY AVE B506
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City | PHILADELPHIA
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State | PA
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Zip | 19120-4701
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Country | US
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Telephone | 484-479-4289
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Fax |
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Provider Business Mailing Address
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Address Line | 155 E GODFREY AVE B506
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City | PHILADELPHIA
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State | PA
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Zip | 19120-4701
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Country | US
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Telephone | 484-479-4289
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MICHAEL ANTHONY WRIGHT JR.
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Credential |
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Telephone | 484-479-4289
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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