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General NPI Number Information
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NPI Number | 1639864846
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Entity Type | Organization
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Legal Business Name | ELLE CLINIQUES LLC
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Dates
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Enumeration Date | 04/05/2023
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 316 W BOONE AVE STE 850
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City | SPOKANE
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State | WA
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Zip | 99201-2353
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Country | US
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Telephone | 407-751-0025
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 451898
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City | KISSIMMEE
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State | FL
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Zip | 34745-1898
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Country | US
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Telephone | 407-751-0025
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. NUELA UCHE UMEH
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Credential | PMHNP-BC, APRN
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Telephone | 407-751-0025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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