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General NPI Number Information
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NPI Number | 1043281850
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Entity Type | Individual
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Provider Name | DAVID MARK EDWARD LLEWELLYN MD
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Gender | Male
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 200 MERCY CIRCLE NHCP INTERNAL MEDICINE
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City | OCEANSIDE
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State | CA
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Zip | 92055
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Country | US
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Telephone | 928-649-7991
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Fax |
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Provider Business Mailing Address
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Address Line | 200 MERCY CIRCLE NHCP INTERNAL MEDICINE
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City | OCEANSIDE
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State | CA
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Zip | 92055
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Country | US
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Telephone | 760-719-3682
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Fax | 760-725-1690
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | G144603
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | G143603
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License Number State | CA
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