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General NPI Number Information
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NPI Number | 1609763267
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Entity Type | Organization
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Legal Business Name | ELEVATE DENTAL PA
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 1620 N US HIGHWAY 1 STE 6
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City | TEQUESTA
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State | FL
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Zip | 33469-3241
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Country | US
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Telephone | 561-744-0677
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Fax |
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Provider Business Mailing Address
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Address Line | 1620 N US HIGHWAY 1 STE 6
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City | TEQUESTA
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State | FL
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Zip | 33469-3241
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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 | OWNER
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Name | CHRISTINA TSENG
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Credential |
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Telephone | 772-913-0127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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