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General NPI Number Information
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NPI Number | 1629228366
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Entity Type | Organization
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Legal Business Name | THE ELITE CARE CENTER
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Dates
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Enumeration Date | 09/30/2008
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Last Update Date | 09/30/2008
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Provider Practice Location Address
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Address Line | 6141 S RAINBOW BLVD SUITE 115
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City | LAS VEGAS
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State | NV
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Zip | 89118-3261
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Country | US
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Telephone | 702-920-6556
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Fax | 702-920-6555
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Provider Business Mailing Address
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Address Line | 6141 SOUTH RAINBOW BLVD SUITE 115
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City | LAS VEGAS
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State | NV
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Zip | 89118-3252
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Country | US
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Telephone | 702-920-6556
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Fax | 702-920-6555
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JOHN G. FLORENDO
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Credential | D.C.
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Telephone | 702-920-6556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | BO1239
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License Number State | NV
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