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General NPI Number Information
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NPI Number | 1982189288
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Entity Type | Organization
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Legal Business Name | ELITE HEALTHCARE & THERAPY
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Dates
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Enumeration Date | 10/02/2018
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Last Update Date | 10/02/2018
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Provider Practice Location Address
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Address Line | 11710 BROADWAY ST
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City | PEARLAND
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State | TX
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Zip | 77584-4000
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Country | US
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Telephone | 281-272-6899
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Fax | 832-770-4572
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Provider Business Mailing Address
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Address Line | 11710 BROADWAY ST
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City | PEARLAND
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State | TX
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Zip | 77584-4000
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Country | US
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Telephone | 281-272-6899
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Fax | 832-770-4572
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. SHANE SIGG
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Credential | DC
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Telephone | 281-272-6899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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