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General NPI Number Information
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NPI Number | 1801432059
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Entity Type | Organization
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Legal Business Name | ELECARELLC
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Dates
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Enumeration Date | 11/22/2019
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Last Update Date | 11/22/2019
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Provider Practice Location Address
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Address Line | 555 KEYSTONE AVE APT 2
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City | PECKVILLE
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State | PA
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Zip | 18452-1639
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Country | US
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Telephone | 757-389-1064
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Fax |
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Provider Business Mailing Address
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Address Line | 9434 SELBY PL
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City | NORFOLK
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State | VA
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Zip | 23503-3416
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Country | US
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Telephone | 757-389-1064
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Fax |
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Authorized Official
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Title or Position | AO
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Name | MR. CLARENCE CURTIS JR.
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Credential |
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Telephone | 757-389-1064
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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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