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General NPI Number Information
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NPI Number | 1922926849
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Entity Type | Organization
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Legal Business Name | ELYTHORA VERANIS QUORVETH LLC
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 1802 NEWCASTLE RD
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City | WINDSOR MILL
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State | MD
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Zip | 21244-1759
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Country | US
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Telephone | 929-494-1034
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Fax |
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Provider Business Mailing Address
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Address Line | 1802 NEWCASTLE RD
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City | WINDSOR MILL
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State | MD
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Zip | 21244-1759
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Country | US
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Telephone | 929-494-1034
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DARYL BUTLER
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Credential |
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Telephone | 929-494-1034
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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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