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General NPI Number Information
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NPI Number | 1790047058
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Entity Type | Organization
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Legal Business Name | ELIMS VENTURES, LLC
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Dates
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Enumeration Date | 06/13/2012
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Last Update Date | 09/09/2022
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Provider Practice Location Address
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Address Line | 28604 IH 10 WEST #3
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City | BOERNE
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State | TX
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Zip | 78006
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Country | US
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Telephone | 830-981-2446
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Fax | 830-981-4993
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Provider Business Mailing Address
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Address Line | 29602 DOUBLE EAGLE CIRCLE
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City | BOERNE
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State | TX
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Zip | 78015-4934
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Country | US
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Telephone | 830-981-2446
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Fax | 830-981-4993
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALICIA LYLES
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Credential |
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Telephone | 830-981-2446
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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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