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General NPI Number Information
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NPI Number | 1396051884
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Entity Type | Organization
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Legal Business Name | ELITE COMMUNITY HEALTH, LLC
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Dates
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Enumeration Date | 08/23/2010
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Last Update Date | 04/10/2013
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Provider Practice Location Address
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Address Line | 2721 X RAY DR
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City | GASTONIA
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State | NC
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Zip | 28054-7491
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Country | US
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Telephone | 704-864-9668
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Fax |
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Provider Business Mailing Address
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Address Line | 2212 UNION RD SUITE 700, PMB 507
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City | GASTONIA
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State | NC
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Zip | 28054-3700
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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 | OWNER
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Name | JOSHUA STEELE
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Credential |
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Telephone | 704-674-4129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management 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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) 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 | 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 #4
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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 #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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