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General NPI Number Information
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NPI Number | 1417772450
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Entity Type | Organization
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Legal Business Name | ELEVA RECOVERY LLC
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Dates
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Enumeration Date | 11/15/2024
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | AVE. DE DIEGO 580 2DO PISO STL B
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City | SAN JUAN
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State | PR
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Zip | 00920
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Country | US
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Telephone | 787-706-5255
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Fax |
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Provider Business Mailing Address
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Address Line | METRO OFFICE PARK LOT 6 OFFICE 103
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City | GUAYNABO
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State | PR
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Zip | 00968
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Country | US
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Telephone | 787-706-5255
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MILTON L. CRUZ
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Credential |
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Telephone | 787-706-5255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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