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General NPI Number Information
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NPI Number | 1932730165
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Entity Type | Organization
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Legal Business Name | ELITE HEALTHCARE GROUP. LLC,
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Dates
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Enumeration Date | 01/27/2020
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Last Update Date | 01/27/2020
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Provider Practice Location Address
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Address Line | 56 PERIMETER CTR E STE 150.00
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City | ATLANTA
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State | GA
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Zip | 30346-2296
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Country | US
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Telephone | 770-869-2018
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Fax | 470-539-4999
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Provider Business Mailing Address
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Address Line | 56 PERIMETER CTR E STE 150.00
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City | ATLANTA
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State | GA
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Zip | 30346-2296
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Country | US
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Telephone | 770-869-2018
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Fax | 470-539-4999
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. SHAWN DRAINS
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Credential |
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Telephone | 770-869-2048
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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