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General NPI Number Information
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NPI Number | 1922800358
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Entity Type | Organization
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Legal Business Name | ELITE SPINE & PAIN LLC
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 1330 PICCARD DR STE 102
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City | ROCKVILLE
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State | MD
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Zip | 20850-4372
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Country | US
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Telephone | 301-208-7350
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Fax | 301-208-7355
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Provider Business Mailing Address
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Address Line | 97 THOMAS JOHNSON DR STE 200
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City | FREDERICK
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State | MD
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Zip | 21702-4374
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Country | US
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Telephone | 240-547-6464
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JASON DANIEL LITT
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Credential | MD
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Telephone | 240-547-6464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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