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General NPI Number Information
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NPI Number | 1750114740
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Entity Type | Organization
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Legal Business Name | ELIM'S GATE LLC
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Dates
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Enumeration Date | 08/23/2024
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 130 W WENGER RD STE C3
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City | ENGLEWOOD
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State | OH
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Zip | 45322-2761
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Country | US
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Telephone | 937-825-4618
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Fax |
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Provider Business Mailing Address
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Address Line | 130 W WENGER RD STE C3
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City | ENGLEWOOD
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State | OH
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Zip | 45322-2761
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Country | US
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Telephone | 937-825-4618
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ANGELIQUE OLUYITAN
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Credential | RN
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Telephone | 937-613-2550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #4
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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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