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General NPI Number Information
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NPI Number | 1326425216
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Entity Type | Organization
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Legal Business Name | LVG INTERNATIONAL LLC
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Dates
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Enumeration Date | 04/30/2015
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2351 W NORTHWEST HWY STE 1302
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City | DALLAS
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State | TX
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Zip | 75220-8430
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Country | US
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Telephone | 972-514-1405
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Fax |
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Provider Business Mailing Address
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Address Line | 2351 W NORTHWEST HWY STE 1302
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City | DALLAS
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State | TX
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Zip | 75220-8430
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Country | US
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Telephone | 972-514-1405
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSE EDWIN VILLARREAL
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Credential |
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Telephone | 214-753-6787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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