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General NPI Number Information
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NPI Number | 1841081015
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Entity Type | Organization
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Legal Business Name | ELEVATE FOOT AND ANKLE PLLC
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 31332 NICHOLS SAWMILL ROAD UNIT B
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City | MAGNOLIA
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State | TX
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Zip | 77355-6005
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Country | US
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Telephone | 801-867-9428
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Fax |
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Provider Business Mailing Address
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Address Line | 31332 NICHOLS SAWMILL ROAD UNIT B
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City | MAGNOLIA
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State | TX
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Zip | 77355-6005
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Country | US
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Telephone | 362-338-8886
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Fax | 469-373-3097
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Authorized Official
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Title or Position | OWNER
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Name | DR. ERNEST SORENSON
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Credential | DPM
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Telephone | 801-867-9428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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