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General NPI Number Information
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NPI Number | 1861753659
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Entity Type | Organization
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Legal Business Name | ELITE CARE MANAGEMENT
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Dates
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Enumeration Date | 06/07/2012
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Last Update Date | 07/08/2021
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Provider Practice Location Address
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Address Line | 568 S WASHINGTON ST
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City | NAPERVILLE
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State | IL
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Zip | 60540-6843
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Country | US
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Telephone | 630-548-9500
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Fax | 630-548-0541
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Provider Business Mailing Address
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Address Line | 568 S WASHINGTON ST
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City | NAPERVILLE
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State | IL
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Zip | 60540-6843
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Country | US
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Telephone | 630-548-9500
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Fax | 630-548-0541
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Authorized Official
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Title or Position | OFFICER
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Name | MR. JOHN S MASTRANGELI
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Credential |
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Telephone | 630-548-9500
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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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