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General NPI Number Information
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NPI Number | 1225893613
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Entity Type | Organization
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Legal Business Name | LEVEN GROUP LLC
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Dates
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Enumeration Date | 02/15/2024
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Last Update Date | 02/15/2024
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Provider Practice Location Address
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Address Line | AVE COMERIO DAVISON PLAZA LOCAL G
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City | TOA BAJA
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State | PR
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Zip | 00949-0094
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Country | US
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Telephone | 787-975-5050
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Fax |
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Provider Business Mailing Address
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Address Line | CAMINO LOS ABADES NC 26 LA MANSION
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City | TOA BAJA
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State | PR
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Zip | 00949
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHELLE LOZADA MARTINEZ
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Credential | MD
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Telephone | 787-975-5050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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