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General NPI Number Information
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NPI Number | 1356121248
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Entity Type | Organization
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Legal Business Name | LEVI 2 LLC
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Dates
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Enumeration Date | 09/29/2023
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Last Update Date | 12/26/2023
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Provider Practice Location Address
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Address Line | 4213 DAPPLE GREY DR
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City | RICHMOND
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State | VA
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Zip | 23223-2284
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Country | US
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Telephone | 804-549-9380
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1011
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-1011
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Country | US
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Telephone | 804-549-9380
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | BROOKE E BRUTLEY
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Credential |
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Telephone | 804-549-9380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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