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General NPI Number Information
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NPI Number | 1871449850
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Entity Type | Organization
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Legal Business Name | ELITECARE DME SERVICES LLC
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 240 W MAIN ST
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-5005
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Country | US
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Telephone | 631-784-3202
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Fax |
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Provider Business Mailing Address
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Address Line | 240 W MAIN ST
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-5005
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GRIFFIN AARON GAUDIN NEWMAN
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Credential |
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Telephone | 631-784-3202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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