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General NPI Number Information
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NPI Number | 1104659804
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Entity Type | Organization
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Legal Business Name | ELEVATE HEALTH AND WELLNESS
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Dates
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Enumeration Date | 08/20/2024
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 2770 COOLIDGE HWY
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City | BERKLEY
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State | MI
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Zip | 48072-1557
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Country | US
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Telephone | 248-951-2830
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Fax |
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Provider Business Mailing Address
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Address Line | 2770 COOLIDGE HWY
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City | BERKLEY
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State | MI
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Zip | 48072-1557
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Country | US
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Telephone | 248-951-2830
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SARAH KIRSCH
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Credential | DC
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Telephone | 248-921-1124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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