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General NPI Number Information
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NPI Number | 1811642978
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Entity Type | Organization
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Legal Business Name | PCA ELITE
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Dates
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Enumeration Date | 02/17/2022
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Last Update Date | 05/23/2022
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Provider Practice Location Address
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Address Line | 3937 HOLCOMB BRIDGE RD STE 201
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City | PEACHTREE CORNERS
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State | GA
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Zip | 30092-2249
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Country | US
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Telephone | 404-720-0770
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Fax |
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Provider Business Mailing Address
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Address Line | 3937 HOLCOMB BRIDGE RD STE 201
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City | PEACHTREE CORNERS
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State | GA
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Zip | 30092-2249
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Country | US
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Telephone | 404-720-0770
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Fax |
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Authorized Official
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Title or Position | OWNER/ ADMIN
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Name | MS. CHELSEA LOTT
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Credential |
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Telephone | 678-656-6647
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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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