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General NPI Number Information
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NPI Number | 1457887390
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Entity Type | Organization
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Legal Business Name | ELITE ALTERNATIVES, INC.
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 3330 PRIMARY ST
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City | AUBURN HILLS
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State | MI
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Zip | 48326-3243
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Country | US
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Telephone | 248-852-2065
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Fax |
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Provider Business Mailing Address
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Address Line | 3330 PRIMARY ST
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City | AUBURN HILLS
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State | MI
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Zip | 48326-3243
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Country | US
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Telephone | 248-852-2065
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. MONICA FLAGG
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Credential |
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Telephone | 248-852-2065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number | AS630012646
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number | AS630274298
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number | AS630012747
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number | AS500268244
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number | AS500081671
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number | AS630012584
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License Number State | MI
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