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General NPI Number Information
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NPI Number | 1457082315
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Entity Type | Organization
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Legal Business Name | ELEVATE HEALTH AND ACUPUNCTURE LLC
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Dates
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Enumeration Date | 06/22/2022
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 1124 KENNEBEC DR
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-2809
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Country | US
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Telephone | 717-263-8919
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Fax | 717-263-2655
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Provider Business Mailing Address
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Address Line | 1124 KENNEBEC DR
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-2809
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Country | US
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Telephone | 717-263-8919
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Fax | 717-263-2655
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Authorized Official
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Title or Position | OWNER
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Name | DR. CANDICE F TRAN
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Credential | DC, LAC
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Telephone | 717-263-8919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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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 | 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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