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General NPI Number Information
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NPI Number | 1235927625
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Entity Type | Organization
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Legal Business Name | ELEVATED RX, LLC
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 1507 PROFESSIONAL CT
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City | DALTON
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State | GA
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Zip | 30720-2500
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Country | US
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Telephone | 706-529-9396
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Fax | 706-381-3124
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Provider Business Mailing Address
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Address Line | PO BOX 35
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City | DALTON
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State | GA
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Zip | 30722-0035
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Country | US
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Telephone | 706-280-4255
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Fax | 706-275-6157
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Authorized Official
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Title or Position | PRESIDENT/MANAGER
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Name | DR. JASON PAUL SNEED
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Credential | PHARM.D
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Telephone | 706-280-4255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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