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General NPI Number Information
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NPI Number | 1669236428
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Entity Type | Organization
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Legal Business Name | ELEVATED HEALTH LLC
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 94 N MAIN ST STE E
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City | HILTON HEAD
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State | SC
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Zip | 29926-1685
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Country | US
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Telephone | 843-813-6778
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Fax |
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Provider Business Mailing Address
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Address Line | 94 N MAIN ST STE E
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City | HILTON HEAD
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State | SC
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Zip | 29926-1685
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Country | US
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Telephone | 843-813-6778
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Fax |
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Authorized Official
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Title or Position | DC
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Name | MATTHEW SHAVE
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Credential |
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Telephone | 843-816-7785
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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 |
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License Number State |
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