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General NPI Number Information
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NPI Number | 1588530323
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Entity Type | Organization
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Legal Business Name | ALLEVATE HEALTH MEDICAL GROUP
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 707 STATE RD STE 105
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City | PRINCETON
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State | NJ
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Zip | 08540-1434
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Country | US
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Telephone | 732-508-0306
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Fax |
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Provider Business Mailing Address
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Address Line | 707 STATE RD STE 105
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City | PRINCETON
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State | NJ
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Zip | 08540-1434
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Country | US
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Telephone | 732-508-0306
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARKINTOSH BARTHELEMY
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Credential | MD
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Telephone | 732-508-0306
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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