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General NPI Number Information
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NPI Number | 1780961623
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Entity Type | Organization
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Legal Business Name | ELITE HEALTHCARE ALLIANCE, PLLC
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Dates
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Enumeration Date | 11/07/2011
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Last Update Date | 07/03/2018
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Provider Practice Location Address
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Address Line | 1195 OLD HICKORY BLVD STE 102
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City | BRENTWOOD
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State | TN
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Zip | 37027
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Country | US
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Telephone | 615-834-7777
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Fax | 615-834-7888
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Provider Business Mailing Address
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Address Line | 1195 OLD HICKORY BLVD STE 102
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City | BRENTWOOD
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State | TN
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Zip | 37027-4239
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Country | US
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Telephone | 615-834-7777
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Fax | 615-834-7888
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Authorized Official
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Title or Position | CEO
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Name | FRANCES D ROBINSON
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Credential | NP
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Telephone | 615-834-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0000015786
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0000008337
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License Number State | TN
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