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General NPI Number Information
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NPI Number | 1609796648
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Entity Type | Organization
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Legal Business Name | ELITE DIAGNOSTICS & THERAPY
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 485 US-1 BUILDING A STE 200B
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City | ISELIN
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State | NJ
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Zip | 08830
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Country | US
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Telephone | 732-301-4041
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Fax | 732-828-8877
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Provider Business Mailing Address
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Address Line | 485 US-1 BUILDING A STE 200B
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City | ISELIN
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State | NJ
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Zip | 08830
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Country | US
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Telephone | 732-301-4041
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Fax | 732-828-8877
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Authorized Official
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Title or Position | CEO
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Name | AHMED KHAWAJA
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Credential |
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Telephone | 347-346-0000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State |
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