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General NPI Number Information
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NPI Number | 1972481984
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Entity Type | Organization
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Legal Business Name | ELEVATE MEDICAL GROUP
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 6425 POST RD STE 101
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City | DUBLIN
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State | OH
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Zip | 43016-1215
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Country | US
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Telephone | 614-760-5555
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Fax | 614-760-5535
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Provider Business Mailing Address
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Address Line | 11293 WINTERBERRY DR
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City | PLAIN CITY
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State | OH
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Zip | 43064-9392
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Country | US
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Telephone | 614-296-8919
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANA J ROLLANDINI
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Credential |
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Telephone | 614-296-8919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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