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General NPI Number Information
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NPI Number | 1871317917
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Entity Type | Organization
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Legal Business Name | ELEVATION HEALTH PLLC
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Dates
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Enumeration Date | 11/14/2024
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 14153 YOSEMITE DR
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City | HUDSON
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State | FL
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Zip | 34667-8060
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Country | US
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Telephone | 727-267-8261
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Fax |
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Provider Business Mailing Address
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Address Line | 450 E 63RD ST APT 7N
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City | NEW YORK
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State | NY
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Zip | 10065-7939
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Country | US
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Telephone | 727-267-8261
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. PETER JUSTIN ROSSI
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Credential | MD PHD
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Telephone | 727-267-8261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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