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General NPI Number Information
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NPI Number | 1871349258
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Entity Type | Organization
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Legal Business Name | ELEVERA HEALTH, LLC
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Dates
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Enumeration Date | 04/26/2024
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 24932 PEACH RIDGE CT
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City | ALDIE
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State | VA
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Zip | 20105-5750
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Country | US
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Telephone | 703-952-3366
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Fax |
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Provider Business Mailing Address
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Address Line | 1019B EDWARDS FERRY RD NE # 1060
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City | LEESBURG
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State | VA
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Zip | 20176-3347
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Country | US
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Telephone | 703-952-3366
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Fax | 703-829-1596
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | MRS. LAURA TITCHENELL
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Credential | FNP-BC
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Telephone | 703-952-3366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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