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General NPI Number Information
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NPI Number | 1467325126
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Entity Type | Organization
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Legal Business Name | ELEVATED MEDICAL HOMES PLLC
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Dates
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Enumeration Date | 09/27/2025
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Last Update Date | 09/27/2025
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Provider Practice Location Address
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Address Line | 3510 MILL AVE S
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City | RENTON
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State | WA
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Zip | 98055-6807
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Country | US
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Telephone | 206-590-7734
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Fax | 425-332-7074
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Provider Business Mailing Address
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Address Line | 3510 MILL AVE S
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City | RENTON
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State | WA
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Zip | 98055-6807
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Country | US
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Telephone | 206-590-7734
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Fax | 425-332-7074
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JOSHUA LE
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Credential | DO
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Telephone | 206-590-7734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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