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General NPI Number Information
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NPI Number | 1467314302
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Entity Type | Organization
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Legal Business Name | ELEVATED LIVING SOLUTIONS, LLC
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 617 W COLLEGE ST
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City | MARSHALL
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State | MO
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Zip | 65340-2909
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Country | US
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Telephone | 660-202-2129
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Fax | 660-202-2129
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Provider Business Mailing Address
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Address Line | 617 W COLLEGE ST
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City | MARSHALL
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State | MO
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Zip | 65340-2909
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Country | US
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Telephone | 660-202-2129
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Fax | 660-202-2129
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | DASHAWNA LYNNELLE BROWN
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Credential |
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Telephone | 660-202-2129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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