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General NPI Number Information
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NPI Number | 1831046333
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Entity Type | Organization
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Legal Business Name | ELITE EFFECTS LLC
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Dates
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Enumeration Date | 03/13/2026
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 1643 MEMORIAL AVE STE B
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City | WILLIAMSPORT
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State | PA
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Zip | 17701-4490
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Country | US
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Telephone | 484-603-3278
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Fax |
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Provider Business Mailing Address
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Address Line | 1643 MEMORIAL AVE STE B
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City | WILLIAMSPORT
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State | PA
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Zip | 17701-4490
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Country | US
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Telephone | 484-603-3278
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Fax |
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MRS. MALEKA JACKSON
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Credential |
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Telephone | 484-603-3278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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