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General NPI Number Information
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NPI Number | 1205882933
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Entity Type | Individual
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Provider Name | AUDREY CARON LLEVA COLLINS APN
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Gender | Female
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 8741 S GREENWOOD AVE STE 106-108
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City | CHICAGO
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State | IL
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Zip | 60619-7061
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Country | US
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Telephone | 773-920-2755
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Fax |
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Provider Business Mailing Address
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Address Line | 2648 W CRYSTAL ST
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City | CHICAGO
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State | IL
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Zip | 60622-2812
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Country | US
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Telephone | 773-395-4049
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11006328
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 202103160NP-PP
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP136652
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP61487255
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209000104
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License Number State | IL
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