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General NPI Number Information
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NPI Number | 1417869926
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Entity Type | Organization
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Legal Business Name | ELITEICARE LLC
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 140 SUNSET AVE FL 2
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City | NEWARK
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State | NJ
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Zip | 07106-1937
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Country | US
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Telephone | 862-977-3241
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Fax |
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Provider Business Mailing Address
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Address Line | 140 SUNSET AVE FL 2
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City | NEWARK
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State | NJ
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Zip | 07106-1937
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Country | US
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Telephone | 862-977-3241
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Fax |
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Authorized Official
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Title or Position | REPRESENTATIVE
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Name | MS. ADESOLA ANIMASHAUN
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Credential | REP
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Telephone | 973-489-4745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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