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General NPI Number Information
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NPI Number | 1508703273
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Entity Type | Organization
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Legal Business Name | ELEVATE HUMAN SYSTEMS
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 895 CORRIHER SPRINGS RD
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City | CHINA GROVE
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State | NC
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Zip | 28023-8772
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Country | US
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Telephone | 586-854-9097
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Fax |
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Provider Business Mailing Address
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Address Line | 242 OAK AVE
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City | KANNAPOLIS
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State | NC
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Zip | 28081-4329
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMES STATEN
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Credential |
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Telephone | 586-854-9097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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