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General NPI Number Information
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NPI Number | 1649649112
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Entity Type | Organization
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Legal Business Name | ELEVATION HEALTH-MIAMI
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Dates
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Enumeration Date | 09/15/2015
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Last Update Date | 09/15/2015
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Provider Practice Location Address
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Address Line | 18300 NW 62ND AVE SUITE 210
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City | HIALEAH
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State | FL
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Zip | 33015-8200
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Country | US
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Telephone | 305-705-3166
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Fax |
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Provider Business Mailing Address
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Address Line | 18300 NW 62ND AVE SUITE 210
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City | MIAMI GARDENS
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State | FL
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Zip | 33015-8200
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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 | DAVID YACHTER
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Credential |
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Telephone | 954-472-6002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH10668
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH6780
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License Number State | FL
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