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General NPI Number Information
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NPI Number | 1912219502
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Entity Type | Organization
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Legal Business Name | ELITE NURSING CARE
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Dates
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Enumeration Date | 07/12/2010
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Last Update Date | 07/30/2010
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Provider Practice Location Address
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Address Line | 73 MICHAEL ST
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City | EAST HAVEN
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State | CT
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Zip | 06513-1861
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Country | US
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Telephone | 203-710-9662
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Fax | 203-469-1827
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Provider Business Mailing Address
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Address Line | 73 MICHAEL ST
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City | EAST HAVEN
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State | CT
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Zip | 06513-1861
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Country | US
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Telephone | 203-710-9662
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Fax | 203-469-1827
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | LISA ANN SIMONELLI
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Credential | NURSE
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Telephone | 203-710-9662
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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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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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