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General NPI Number Information
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NPI Number | 1295670446
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Entity Type | Organization
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Legal Business Name | LIVO MEDICAL LLC
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Dates
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Enumeration Date | 04/22/2026
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Last Update Date | 04/22/2026
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Provider Practice Location Address
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Address Line | 580 MONTGOMERY ST # 6A
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City | JERSEY CITY
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State | NJ
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Zip | 07302-3128
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Country | US
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Telephone | 234-564-6220
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Fax |
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Provider Business Mailing Address
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Address Line | 580 MONTGOMERY ST # 6A
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City | JERSEY CITY
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State | NJ
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Zip | 07302-3128
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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 | PRESIDENT
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Name | AMR BADAWY
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Credential | DO
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Telephone | 234-564-6220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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