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General NPI Number Information
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NPI Number | 1679069967
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Entity Type | Organization
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Legal Business Name | ELITES CARE LLC
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Dates
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Enumeration Date | 07/10/2018
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Last Update Date | 10/15/2018
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Provider Practice Location Address
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Address Line | 6495 NEW HAMPSHIRE AVE STE A303
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City | HYATTSVILLE
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State | MD
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Zip | 20783-3245
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Country | US
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Telephone | 240-825-3153
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Fax | 240-823-3154
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Provider Business Mailing Address
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Address Line | 6495 NEW HAMPSHIRE AVE STE A303
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City | HYATTSVILLE
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State | MD
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Zip | 20783-3245
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Country | US
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Telephone | 240-825-3153
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Fax | 240-823-3154
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | AWONTI ETOO NDJONGO
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Credential |
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Telephone | 202-869-6291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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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 | 376J00000X
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Taxonomy Name | Homemaker
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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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