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General NPI Number Information
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NPI Number | 1174330252
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Entity Type | Organization
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Legal Business Name | LEVELS TO LOVE LLC
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Dates
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Enumeration Date | 12/12/2024
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 7333 PEBBLEBROOKE EAST DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46236-8771
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Country | US
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Telephone | 317-677-2740
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Fax |
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Provider Business Mailing Address
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Address Line | 3135 HOVEY ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46218-1930
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Country | US
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Telephone | 317-677-2740
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CASSONDRA LEVELS
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Credential |
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Telephone | 317-677-2740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State |
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