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General NPI Number Information
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NPI Number | 1508137761
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Entity Type | Organization
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Legal Business Name | ELITE HOME HEALTH SERVICES LLC
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Dates
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Enumeration Date | 01/19/2012
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Last Update Date | 05/06/2021
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Provider Practice Location Address
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Address Line | 2691 E OAKLAND PARK BLVD STE 403A
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306-1621
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Country | US
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Telephone | 954-267-9029
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Fax | 954-267-9049
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Provider Business Mailing Address
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Address Line | 2691 E OAKLAND PARK BLVD STE 403A
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306-1621
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Country | US
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Telephone | 954-267-9029
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Fax | 954-267-9049
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL FRAZER
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Credential |
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Telephone | 954-267-9029
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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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