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General NPI Number Information
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NPI Number | 1558810317
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Entity Type | Organization
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Legal Business Name | ELITE ORTHOPEDICS AND SPORTS MEDICINE PLLC
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Dates
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Enumeration Date | 09/22/2016
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 1333 SE 25TH LOOP UNIT 103
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City | OCALA
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State | FL
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Zip | 34471-1072
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Country | US
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Telephone | 352-509-3097
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Fax | 352-509-3129
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Provider Business Mailing Address
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Address Line | 3101 SW 34TH AVE #905-273
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City | OCALA
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State | FL
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Zip | 34474-7447
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Country | US
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Telephone | 352-509-3097
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Fax | 352-509-3129
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Authorized Official
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Title or Position | OWNER
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Name | DEENESH T SAHAJPAL
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Credential | MD
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Telephone | 352-509-3097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic 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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