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General NPI Number Information
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NPI Number | 1922460849
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Entity Type | Organization
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Legal Business Name | ELITE HOMECARE HEALTH SERVICES
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 08/16/2016
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Provider Practice Location Address
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Address Line | 707 NE 125TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5611
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Country | US
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Telephone | 305-902-9848
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Fax | 305-400-8113
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Provider Business Mailing Address
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Address Line | 707 NE 125TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5611
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Country | US
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Telephone | 305-902-9848
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Fax | 305-400-8113
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Authorized Official
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Title or Position | PRESIDENT
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Name | FRITZNER CHARLES
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Credential |
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Telephone | 305-902-9848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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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