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General NPI Number Information
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NPI Number | 1982586814
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Entity Type | Organization
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Legal Business Name | ELEVATED ATHLETE LLC
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 1011 12TH ST
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City | HOOD RIVER
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State | OR
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Zip | 97031-1589
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Country | US
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Telephone | 707-972-2262
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 472
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City | HOOD RIVER
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State | OR
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Zip | 97031-0016
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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 | OWNER, ACUPUNCTURIST
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Name | BRITTANY AYERS
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Credential | L.AC.
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Telephone | 707-972-2262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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