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General NPI Number Information
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NPI Number | 1760202766
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Entity Type | Organization
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Legal Business Name | ELEVATION MEDICAL WEIGHT LOSS, INC.
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Dates
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Enumeration Date | 10/14/2024
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 2350 NOBLESTOWN RD STE 110
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City | PITTSBURGH
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State | PA
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Zip | 15205-4157
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Country | US
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Telephone | 412-458-5042
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Fax | 412-774-1753
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Provider Business Mailing Address
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Address Line | 2350 NOBLESTOWN RD STE 110
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City | PITTSBURGH
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State | PA
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Zip | 15205-4157
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Country | US
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Telephone | 412-458-5042
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Fax | 412-774-1753
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | MRS. JULIA OUGHTON
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Credential |
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Telephone | 304-670-7234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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