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NPI Code Detail

MEDICARE: CARLOS LEYVA III

MEDICARE: CARLOS LEYVA III
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1679028351
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLOS LEYVA III
Provider Business Mailing Address
First Line : 740 N 6TH AVE
Second Line :
City : STEUBENVILLE
State : OH
Zip : 43952-1844
Country : US
Telephone Number : 740-996-7100
Fax Number :
Provider Business Practice Location Address
First Line : 740 N 6TH AVE
Second Line :
City : STEUBENVILLE
State : OH
Zip : 43952-1844
Country : US
Telephone Number : 740-996-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2016
Last Update Date : 08/23/2016

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Directions to “ CARLOS LEYVA III ” Practice Location

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