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General NPI Number Information
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NPI Number | 1205673399
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Entity Type | Organization
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Legal Business Name | ELEVATE MEDCARE, INC.
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Dates
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Enumeration Date | 07/15/2024
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 7765 S HWY A1A
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City | MELBOURNE
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State | FL
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Zip | 32951-3908
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Country | US
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Telephone | 937-622-1592
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Fax |
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Provider Business Mailing Address
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Address Line | 7765 S HWY A1A
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City | MELBOURNE BEACH
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State | FL
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Zip | 32951-3908
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Country | US
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Telephone | 937-478-3386
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANA LYNN MCDONOUGH
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Credential |
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Telephone | 937-478-3386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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