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General NPI Number Information
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NPI Number | 1578351573
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Entity Type | Organization
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Legal Business Name | ELEVATE THERAPY GROUP
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 8500 SW 92ND ST STE 206
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City | MIAMI
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State | FL
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Zip | 33156-7379
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Country | US
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Telephone | 786-899-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 8500 SW 92ND ST STE 206
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City | MIAMI
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State | FL
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Zip | 33156-7379
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Country | US
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Telephone | 786-899-0500
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SASHA DIMITRJEVITCH
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Credential |
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Telephone | 786-876-9978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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