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General NPI Number Information
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NPI Number | 1760285159
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Entity Type | Organization
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Legal Business Name | ELITE WOUNDCARE ASSOCIATES PLLC
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 100 RENAISSANCE CTR STE 10140245
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City | DETROIT
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State | MI
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Zip | 48243-1114
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Country | US
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Telephone | 517-402-9590
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Fax |
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Provider Business Mailing Address
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Address Line | 100 RENAISSANCE CTR STE 10140245
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City | DETROIT
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State | MI
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Zip | 48243-1114
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Country | US
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Telephone | 517-402-9590
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Fax |
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Authorized Official
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Title or Position | DO/OWNER
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Name | TONY ABOOD
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Credential | DO
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Telephone | 517-402-9590
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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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