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General NPI Number Information
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NPI Number | 1841167830
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Entity Type | Organization
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Legal Business Name | ELEVATE ORTHOPEDICS, LLC
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Dates
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Enumeration Date | 10/22/2025
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 2921 DOCTORS PARK DR
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City | MEDFORD
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State | OR
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Zip | 97504-8127
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Country | US
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Telephone | 541-690-8015
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Fax |
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Provider Business Mailing Address
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Address Line | 2921 DOCTORS PARK DR
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City | MEDFORD
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State | OR
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Zip | 97504-8127
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Country | US
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Telephone | 541-690-8015
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STEVEN REEDER
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Credential | PA-C
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Telephone | 541-690-8015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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