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General NPI Number Information
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NPI Number | 1548192784
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Entity Type | Organization
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Legal Business Name | ELAYA HEALTH MIDWEST LLC
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 2515 LAURELHURST RD
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City | UNIVERSITY HEIGHTS
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State | OH
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Zip | 44118-4611
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Country | US
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Telephone | 917-862-3003
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Fax |
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Provider Business Mailing Address
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Address Line | 284 PARK AVE
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City | PASSAIC
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State | NJ
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Zip | 07055-4455
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Country | US
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Telephone | 917-862-3003
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Fax |
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Authorized Official
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Title or Position | MD
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Name | MEHRI SONGHORIAN
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Credential | MD
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Telephone | 917-862-3003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number |
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License Number State |
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