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General NPI Number Information
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NPI Number | 1710503982
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Entity Type | Organization
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Legal Business Name | ELEVATE HOUSING FOUNDATION
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Dates
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Enumeration Date | 06/23/2020
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 405 E 5TH ST
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City | WATERLOO
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State | IA
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Zip | 50703-5705
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Country | US
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Telephone | 833-370-0719
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Fax | 515-220-2272
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Provider Business Mailing Address
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Address Line | 7366 N LINCOLN AVE STE 301
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City | LINCOLNWOOD
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State | IL
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Zip | 60712-1740
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Country | US
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Telephone | 224-420-7133
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Fax |
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Authorized Official
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Title or Position | AR DIRECTOR
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Name | AMIRA KRVAVAC
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Credential |
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Telephone | 224-470-2657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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