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General NPI Number Information
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NPI Number | 1609727635
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Entity Type | Organization
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Legal Business Name | ELEVATE NEURO DX, PLLC
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Dates
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Enumeration Date | 02/05/2026
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 2300 N HASKELL AVE
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City | DALLAS
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State | TX
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Zip | 75204-3703
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Country | US
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Telephone | 520-249-4466
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 N HASKELL AVE
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City | DALLAS
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State | TX
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Zip | 75204-3703
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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 | OPERATIONS
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Name | KIMBERLY ABRAMS
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Credential |
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Telephone | 520-249-4466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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License Number |
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License Number State |
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