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General NPI Number Information
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NPI Number | 1598592537
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Entity Type | Organization
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Legal Business Name | ELITE 23 HOLDING GROUP LLC
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Dates
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Enumeration Date | 09/16/2024
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Last Update Date | 04/26/2025
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Provider Practice Location Address
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Address Line | 202 SUNNY ISLES BLVD STE 8A
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-4680
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Country | US
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Telephone | 305-523-9787
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Fax | 754-310-1422
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Provider Business Mailing Address
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Address Line | 202 SUNNY ISLES BLVD STE 8A
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-4680
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Country | US
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Telephone | 305-523-9787
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Fax | 754-310-1422
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEVEN YASKIN
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Credential | MS
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Telephone | 305-523-9787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine 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 | 208600000X
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Taxonomy Name | 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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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