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General NPI Number Information
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NPI Number | 1811508500
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Entity Type | Organization
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Legal Business Name | C&B ELITE CARE SERVICES, INC.
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Dates
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Enumeration Date | 08/14/2020
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Last Update Date | 08/14/2020
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Provider Practice Location Address
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Address Line | 6151 MIRAMAR PKWY STE 113
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City | MIRAMAR
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State | FL
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Zip | 33023-3987
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Country | US
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Telephone | 954-496-2112
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Fax |
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Provider Business Mailing Address
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Address Line | 16309 SW 15TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-5129
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Country | US
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Telephone | 954-496-2112
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CLAUDETTE M JOHNSON
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Credential | HEALTH SERVICES ADMI
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Telephone | 954-496-2112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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