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General NPI Number Information
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NPI Number | 1003601006
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Entity Type | Organization
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Legal Business Name | ELEVATE HEALTH SOLUTIONS, LLC
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 121 CONGRESSIONAL LN STE 316
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City | ROCKVILLE
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State | MD
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Zip | 20852-1542
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Country | US
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Telephone | 240-221-3116
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Fax |
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Provider Business Mailing Address
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Address Line | 650 PENNSYLVANIA AVE SE STE 330
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City | WASHINGTON
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State | DC
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Zip | 20003-4397
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Country | US
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Telephone | 202-610-9570
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | CHARLETTA WASHINGTON
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Credential |
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Telephone | 240-230-7090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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