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General NPI Number Information
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NPI Number | 1386431906
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Entity Type | Organization
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Legal Business Name | ELITE SENIOR CARE MIAMI
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Dates
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Enumeration Date | 04/24/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 4300 BISCAYNE BLVD STE 203
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City | MIAMI
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State | FL
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Zip | 33137-3255
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Country | US
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Telephone | 786-496-2913
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Fax |
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Provider Business Mailing Address
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Address Line | 4300 BISCAYNE BLVD STE 203
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City | MIAMI
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State | FL
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Zip | 33137-3255
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Country | US
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Telephone | 786-496-2913
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Fax |
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Authorized Official
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Title or Position | CEO/ MANAGING DIRECTOR
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Name | MS. THALYA GRACE OLMOS
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Credential | MBA
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Telephone | 754-332-6644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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