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General NPI Number Information
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NPI Number | 1669352381
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Entity Type | Organization
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Legal Business Name | SRS ELITE CARE INC
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 14845 87TH RD
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City | JAMAICA
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State | NY
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Zip | 11435-3113
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Country | US
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Telephone | 631-707-5439
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Fax |
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Provider Business Mailing Address
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Address Line | 164 WEEKS DR
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City | DIX HILLS
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State | NY
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Zip | 11746-6216
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Country | US
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Telephone | 631-707-5439
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SUJIT R SOOKHU
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Credential | PA
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Telephone | 631-707-5439
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease 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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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