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General NPI Number Information
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NPI Number | 1659215820
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Entity Type | Organization
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Legal Business Name | ELITE EMG NEURODIAGNOSTICS LLC
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Dates
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Enumeration Date | 04/16/2026
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Last Update Date | 04/16/2026
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Provider Practice Location Address
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Address Line | 39185 EVERETT TURNER DORY M RD
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City | BETHESDA
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State | OH
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Zip | 43719-9725
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Country | US
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Telephone | 740-484-9321
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Fax | 740-214-4758
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Provider Business Mailing Address
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Address Line | 39185 EVERETT TURNER DORY M RD
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City | BETHESDA
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State | OH
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Zip | 43719-9725
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Country | US
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Telephone | 740-484-9321
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Fax | 740-214-4758
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Authorized Official
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Title or Position | OWNER
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Name | THERESA CHAMBERS
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Credential | PT, DPT
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Telephone | 724-322-5538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology 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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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