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General NPI Number Information
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NPI Number | 1871489625
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Entity Type | Organization
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Legal Business Name | MC ELITE CASE MANAGEMENT LLC
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 18 SYLVAN ST NW
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City | ROME
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State | GA
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Zip | 30165-2218
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Country | US
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Telephone | 706-331-1673
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Fax | 404-745-8631
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Provider Business Mailing Address
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Address Line | 1441 WOODMONT LN NW # 392
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City | ATLANTA
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State | GA
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Zip | 30318-2866
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Country | US
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Telephone | 706-331-1673
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Fax | 404-745-8631
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Authorized Official
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Title or Position | CEO
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Name | MS. MONICA CHIVERS
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Credential |
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Telephone | 706-331-1673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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