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General NPI Number Information
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NPI Number | 1932268992
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Entity Type | Organization
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Legal Business Name | ELITE HOME CARE PROFESSIONALS, INC
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 5000 FAWN MEADOW
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City | SAN ANTONIO
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State | TX
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Zip | 78240
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Country | US
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Telephone | 210-696-6005
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Fax |
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Provider Business Mailing Address
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Address Line | 5000 FAWN MEADOW
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1539
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Country | US
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Telephone | 210-696-6005
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | BRYAN RICHARDSON
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Credential |
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Telephone | 615-221-2250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 8806
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License Number State | TX
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