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General NPI Number Information
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NPI Number | 1578091732
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Entity Type | Organization
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Legal Business Name | CAPRICCIO ELITE, LLC
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Dates
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Enumeration Date | 05/31/2017
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Last Update Date | 04/06/2022
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Provider Practice Location Address
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Address Line | 209 W OLDTOWN ST
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City | GALAX
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State | VA
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Zip | 24333-3819
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Country | US
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Telephone | 276-237-8210
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Fax |
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Provider Business Mailing Address
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Address Line | 209 W OLDTOWN ST
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City | GALAX
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State | VA
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Zip | 24333-3819
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Country | US
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Telephone | 276-221-0023
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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 | SUZI L HIATT
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Credential | MS, CSAC
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Telephone | 276-221-0023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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Taxonomy #3
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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