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General NPI Number Information
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NPI Number | 1588501084
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Entity Type | Organization
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Legal Business Name | ELEVATE HOLDINGS LLC
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 4601 W 109TH ST STE 118
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1314
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Country | US
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Telephone | 913-469-8895
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Fax |
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Provider Business Mailing Address
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Address Line | 4601 W 109TH ST STE 118
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1314
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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 | DOCTOR
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Name | DR. ZACHARY BROWN
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Credential | DDS, MD
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Telephone | 913-469-8895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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