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General NPI Number Information
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NPI Number | 1932712668
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Entity Type | Organization
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Legal Business Name | ELEVATED HEALTH SERVICES LLC
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Dates
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Enumeration Date | 08/24/2020
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Last Update Date | 08/29/2020
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Provider Practice Location Address
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Address Line | 304 S JONES BLVD STE 2370
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City | LAS VEGAS
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State | NV
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Zip | 89107-2623
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Country | US
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Telephone | 702-674-2204
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 400932
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City | LAS VEGAS
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State | NV
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Zip | 89140-0932
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Country | US
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Telephone | 702-445-0060
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | D ANA CURTIS
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Credential | FNP
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Telephone | 702-674-2204
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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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