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General NPI Number Information
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NPI Number | 1093677114
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Entity Type | Individual
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Provider Name | MR. LEONEL LUVIANO JR.
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Gender | Male
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Dates
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Enumeration Date | 11/26/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 3111 WOODRIDGE SUITE 300
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City | HOUSTON
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State | TX
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Zip | 77087
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Country | US
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Telephone | 713-847-0071
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Fax | 713-847-0348
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Provider Business Mailing Address
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Address Line | 12014 CRYSTALWOOD DR
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City | HOUSTON
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State | TX
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Zip | 77013-4916
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Country | US
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Telephone | 713-847-0071
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Fax | 713-847-0348
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 293577
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License Number State | TX
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