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General NPI Number Information
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NPI Number | 1679299010
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Entity Type | Organization
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Legal Business Name | ELITE DIABETIC HEALTHCARE CORP
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Dates
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Enumeration Date | 10/18/2022
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Last Update Date | 10/18/2022
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Provider Practice Location Address
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Address Line | 10675 SW 190TH ST STE 1208
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City | CUTLER BAY
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State | FL
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Zip | 33157-7712
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Country | US
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Telephone | 601-513-4956
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Fax |
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Provider Business Mailing Address
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Address Line | 10675 SW 190TH ST STE 1208
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City | CUTLER BAY
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State | FL
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Zip | 33157-7712
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Country | US
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Telephone | 601-513-4956
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | WILLIE GIBBS
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Credential |
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Telephone | 601-513-4956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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