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General NPI Number Information
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NPI Number | 1104505734
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Entity Type | Organization
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Legal Business Name | ELEVATIONS ADULT DAY SERVICES LLC.
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Dates
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Enumeration Date | 07/12/2023
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 4465 S BUFFALO DR STE A-E
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City | LAS VEGAS
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State | NV
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Zip | 89147-5006
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Country | US
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Telephone | 702-665-4514
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Fax |
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Provider Business Mailing Address
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Address Line | 4465 S BUFFALO DR STE A-E
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City | LAS VEGAS
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State | NV
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Zip | 89147-5006
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Country | US
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Telephone | 702-550-1455
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. TERRIA L. OLIVER
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Credential |
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Telephone | 702-756-2919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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