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General NPI Number Information
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NPI Number | 1073483798
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Entity Type | Organization
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Legal Business Name | ELEVATE HEALTH AND NUTRITION PLLC
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Dates
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Enumeration Date | 11/07/2025
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 11990 GRANT ST STE 550
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City | NORTHGLENN
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State | CO
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Zip | 80233-1101
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Country | US
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Telephone | 720-580-3620
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Fax |
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Provider Business Mailing Address
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Address Line | 11990 GRANT ST STE 550
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City | NORTHGLENN
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State | CO
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Zip | 80233-1101
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Country | US
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Telephone | 720-277-1266
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LIDIA FERNANDEZ
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Credential | RDN, LDN, CDCES
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Telephone | 720-277-1266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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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 | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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