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General NPI Number Information
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NPI Number | 1538958202
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Entity Type | Organization
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Legal Business Name | ELEVATED ECHO LLC
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 3010 SANTA FE CT STE 119
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City | MISSOULA
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State | MT
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Zip | 59808-1730
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Country | US
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Telephone | 406-214-9716
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Fax |
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Provider Business Mailing Address
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Address Line | 193 CORMORET LOOP
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City | FLORENCE
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State | MT
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Zip | 59833-6612
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Country | US
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Telephone | 406-214-9716
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JORDAN ETHAN ORR
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Credential | RCS
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Telephone | 406-214-9716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471S1302X
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Taxonomy Name | Sonography Radiologic Technologist
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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 | 246XS1301X
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Taxonomy Name | Sonography Specialist/Technologist Cardiovascular
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License Number |
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License Number State |
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