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General NPI Number Information
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NPI Number | 1093638736
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Entity Type | Organization
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Legal Business Name | ELEVATE ORTHO SPINE, LLC
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 369 LEXINGTON AVE FL 3
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City | NEW YORK
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State | NY
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Zip | 10017-6544
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Country | US
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Telephone | 929-448-8459
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Fax |
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Provider Business Mailing Address
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Address Line | 369 LEXINGTON AVE FL 3
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City | NEW YORK
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State | NY
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Zip | 10017-6544
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. ROSS SHERBAN
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Credential | D.O.
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Telephone | 929-448-8459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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