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General NPI Number Information
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NPI Number | 1396336467
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Entity Type | Organization
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Legal Business Name | ELITE INJURY SOLUTIONS
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Dates
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Enumeration Date | 02/01/2021
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Last Update Date | 02/01/2021
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Provider Practice Location Address
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Address Line | 9455 KOGER BOULEVARD NORTH 113
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City | ST. PETERSBURG
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State | FL
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Zip | 33702
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Country | US
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Telephone | 727-200-1319
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Fax |
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Provider Business Mailing Address
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Address Line | 9455 KOGER BOULEVARD NORTH 113
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City | ST. PETERSBURG
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State | FL
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Zip | 33702
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Country | US
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Telephone | 727-200-1319
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STEVE SINGLETON
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Credential |
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Telephone | 727-200-1319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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