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General NPI Number Information
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NPI Number | 1235026733
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Entity Type | Organization
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Legal Business Name | ELIRA HEALTH LLC
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 09/07/2025
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Provider Practice Location Address
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Address Line | 357 S US HIGHWAY 231
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City | JASPER
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State | IN
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Zip | 47546-3299
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Country | US
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Telephone | 812-624-8551
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Fax | 812-356-6763
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Provider Business Mailing Address
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Address Line | 357 S US HIGHWAY 231
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City | JASPER
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State | IN
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Zip | 47546-3299
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Country | US
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Telephone | 812-624-8551
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Fax |
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Authorized Official
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Title or Position | PMHNP/OWNER
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Name | SHAYNA WAGLER
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Credential | PMHNP
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Telephone | 812-624-8551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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