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General NPI Number Information
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NPI Number | 1477860336
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Entity Type | Organization
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Legal Business Name | ELITE QUALITY CARE INC
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Dates
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Enumeration Date | 09/13/2010
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Last Update Date | 09/13/2010
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Provider Practice Location Address
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Address Line | 11119 SW 147TH CT
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City | MIAMI
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State | FL
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Zip | 33196-3316
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Country | US
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Telephone | 305-335-5115
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Fax | 305-385-3037
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Provider Business Mailing Address
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Address Line | 11119 SW 147TH CT
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City | MIAMI
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State | FL
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Zip | 33196-3316
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Country | US
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Telephone | 305-335-5115
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Fax | 305-385-3037
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Authorized Official
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Title or Position | P
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Name | ELDITH TUESTA
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Credential |
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Telephone | 305-335-5115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 229682
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License Number State | FL
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