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General NPI Number Information
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NPI Number | 1639769193
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Entity Type | Organization
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Legal Business Name | ELIM TOTAL HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 01/19/2021
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 3202 DOGWOOD KNOLL TRL
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City | ROSENBERG
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State | TX
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Zip | 77471-6702
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Country | US
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Telephone | 347-294-9875
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Fax | 832-202-0808
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Provider Business Mailing Address
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Address Line | 3202 DOGWOOD KNOLL TRL
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City | ROSENBERG
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State | TX
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Zip | 77471-6702
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Country | US
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Telephone | 347-294-9875
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Fax | 183-202-0808
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. EVELYN O OKERULU
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Credential |
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Telephone | 347-294-9875
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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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 | 207Q00000X
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Taxonomy Name | Family Medicine 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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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