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General NPI Number Information
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NPI Number | 1245930791
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Entity Type | Organization
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Legal Business Name | GARCIA LEIVA NURSING PRACTITIONER HEALTH CORPORATION
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Dates
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Enumeration Date | 03/03/2023
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 4314 W VICTORY BLVD
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City | BURBANK
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State | CA
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Zip | 91505-1334
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Country | US
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Telephone | 818-843-6611
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Fax | 818-843-6656
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Provider Business Mailing Address
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Address Line | 4314 W VICTORY BLVD
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City | BURBANK
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State | CA
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Zip | 91505-1334
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Country | US
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Telephone | 818-843-6611
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Fax | 818-843-6656
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Authorized Official
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Title or Position | OWNER
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Name | MARILE GARCIA LEIVA
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Credential | NURSE PRACTITIONER
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Telephone | 213-393-1945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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