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General NPI Number Information
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NPI Number | 1427454883
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Entity Type | Organization
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Legal Business Name | ELITTE HEALTHCARE AND SERVICE
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Dates
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Enumeration Date | 11/13/2014
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Last Update Date | 05/12/2015
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Provider Practice Location Address
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Address Line | 9888 BISSONNET ST SUITE 100F
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City | HOUSTON
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State | TX
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Zip | 77036-8247
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Country | US
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Telephone | 713-776-9399
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Fax | 713-776-3994
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Provider Business Mailing Address
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Address Line | 9888 BISSONNET ST SUITE 100F
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City | HOUSTON
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State | TX
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Zip | 77036-8247
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Country | US
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Telephone | 713-776-9399
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Fax | 713-776-3994
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. OKORIE UWAKWE OKO
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Credential | DC
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Telephone | 713-776-9399
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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 | 009581
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License Number State | TX
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