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General NPI Number Information
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NPI Number | 1699231688
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Entity Type | Organization
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Legal Business Name | ELITE HEALTHCARE PARTNERS
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Dates
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Enumeration Date | 02/14/2019
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Last Update Date | 03/17/2020
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Provider Practice Location Address
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Address Line | 3618 LANTANA RD STE 100
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City | LAKE WORTH
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State | FL
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Zip | 33462-2247
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Country | US
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Telephone | 561-318-6158
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Fax | 561-328-6918
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Provider Business Mailing Address
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Address Line | 3618 LANTANA RD STE 100
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City | LAKE WORTH
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State | FL
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Zip | 33462-2247
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Country | US
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Telephone | 561-318-6158
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Fax | 561-328-6918
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Authorized Official
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Title or Position | PHYSICIAN
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Name | ELIZABETH GUNTHER
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Credential | DO
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Telephone | 561-329-7702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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