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General NPI Number Information
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NPI Number | 1346735719
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Entity Type | Individual
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Provider Name | JESSICA ANN LEVANTI PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/27/2018
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 5969 CATTLERIDGE BLVD STE 102
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City | SARASOTA
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State | FL
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Zip | 34232-6050
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Country | US
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Telephone | 941-379-6647
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Fax |
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Provider Business Mailing Address
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Address Line | 7468 RIDGELAKE CIR
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City | BRADENTON
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State | FL
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Zip | 34203-2503
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Country | US
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Telephone | 941-650-8599
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9111338
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License Number State | FL
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