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General NPI Number Information
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NPI Number | 1033859301
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Entity Type | Individual
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Provider Name | SHANNING RENEE LEVI
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Gender | Female
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Dates
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Enumeration Date | 04/01/2022
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Last Update Date | 08/10/2025
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Provider Practice Location Address
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Address Line | 4401 5TH AVE # A3
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City | LAKE CHARLES
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State | LA
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Zip | 70607-2832
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Country | US
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Telephone | 337-802-6724
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Fax |
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Provider Business Mailing Address
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Address Line | 6859 TOM HEBERT RD #503
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City | LAKE CHARLES
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State | LA
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Zip | 70607-2832
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Country | US
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Telephone | 337-802-6724
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 30004990
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License Number State | LA
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