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General NPI Number Information
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NPI Number | 1407751654
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Entity Type | Organization
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Legal Business Name | ELITE CATERING
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 110 S NEW HAMPSHIRE AVE
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City | TAVARES
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State | FL
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Zip | 32778-3818
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Country | US
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Telephone | 407-879-6761
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1496
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City | WINDERMERE
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State | FL
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Zip | 34786-1496
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Country | US
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Telephone | 407-879-6761
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALFRED MANN
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Credential |
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Telephone | 407-879-6761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State | NULL
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