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General NPI Number Information
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NPI Number | 1992461610
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Entity Type | Organization
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Legal Business Name | ELITE CAREGIVERS OF GEORGIA, LLC
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Dates
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Enumeration Date | 11/17/2021
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Last Update Date | 11/19/2021
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Provider Practice Location Address
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Address Line | 204 ARROWHEAD DR
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City | DALLAS
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State | GA
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Zip | 30132-9465
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Country | US
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Telephone | 470-838-8501
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Fax | 833-834-5444
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Provider Business Mailing Address
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Address Line | 204 ARROWHEAD DR
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City | DALLAS
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State | GA
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Zip | 30132-9465
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Country | US
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Telephone | 470-838-8501
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Fax | 833-834-5444
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Authorized Official
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Title or Position | CLINICAL/LAB DIRECTOR
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Name | MS. APRIL POLITE
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Credential |
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Telephone | 470-838-8501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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