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General NPI Number Information
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NPI Number | 1851226773
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Entity Type | Organization
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Legal Business Name | ELEVATE MOBILE REHAB, LLC
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Dates
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Enumeration Date | 06/13/2026
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Last Update Date | 06/13/2026
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Provider Practice Location Address
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Address Line | 327 N MAIN ST STE 202
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City | ROSWELL
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State | NM
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Zip | 88201-4724
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Country | US
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Telephone | 575-322-9797
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Fax |
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Provider Business Mailing Address
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Address Line | 407 VIALE BOND
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City | ROSWELL
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State | NM
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Zip | 88201-5851
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BILLING AND COMPLIANCE OFFICER
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Name | TRIXY CLAIRE PASTORFIDE
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Credential |
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Telephone | 575-420-1331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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