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General NPI Number Information
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NPI Number | 1528971405
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Entity Type | Organization
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Legal Business Name | ELITE NEUROSPINE & ORTHOREHAB P.C.
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 27207 LAHSER RD STE 108
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City | SOUTHFIELD
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State | MI
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Zip | 48034-8470
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Country | US
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Telephone | 201-312-2412
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Fax |
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Provider Business Mailing Address
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Address Line | 27207 LAHSER RD STE 108
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City | SOUTHFIELD
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State | MI
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Zip | 48034-8470
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Country | US
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Telephone | 201-312-2412
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | YAN M LI
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Credential | MD
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Telephone | 201-312-2412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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