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General NPI Number Information
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NPI Number | 1194610451
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Entity Type | Organization
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Legal Business Name | ELEVATE WELLNESS CENTER LLC
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 4163 1ST AVE S
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City | ST PETERSBURG
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State | FL
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Zip | 33711-1101
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Country | US
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Telephone | 727-710-4798
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Fax | 831-621-4820
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Provider Business Mailing Address
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Address Line | 4163 1ST AVE S
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City | ST PETERSBURG
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State | FL
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Zip | 33711-1101
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Country | US
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Telephone | 727-710-4798
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Fax | 831-621-4820
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Authorized Official
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Title or Position | OWNER
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Name | DR. KIMBERLY KUHN
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Credential | DTCM
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Telephone | 831-345-2775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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