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General NPI Number Information
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NPI Number | 1386401404
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Entity Type | Organization
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Legal Business Name | ELEVATED HORIZONS THERAPEUTICS LLC
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Dates
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Enumeration Date | 03/05/2024
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 7182 LIBERTY CENTRE DR STE Q
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City | WEST CHESTER
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State | OH
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Zip | 45069-6585
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Country | US
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Telephone | 513-594-7986
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Fax |
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Provider Business Mailing Address
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Address Line | 7182 LIBERTY CENTRE DR STE Q-2
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City | WEST CHESTER
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State | OH
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Zip | 45069-6724
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Country | US
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Telephone | 513-594-7986
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. BRANDON L FARLER
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Credential | DNP, CRNA
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Telephone | 513-594-7986
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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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