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General NPI Number Information
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NPI Number | 1679726590
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Entity Type | Organization
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Legal Business Name | ELITE HEALTHCARE SERVICES, LLC
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Dates
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Enumeration Date | 10/23/2008
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Last Update Date | 10/23/2008
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Provider Practice Location Address
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Address Line | 1492 GERANIUM DR
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City | LEWIS CENTER
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State | OH
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Zip | 43035-7186
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Country | US
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Telephone | 614-530-3072
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Fax | 614-414-0626
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Provider Business Mailing Address
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Address Line | PO BOX 83342
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City | COLUMBUS
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State | OH
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Zip | 43203-0342
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Country | US
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Telephone | 614-530-3073
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Fax | 614-414-0626
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. SULEYMANE SYLLA
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Credential |
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Telephone | 614-530-3072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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