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General NPI Number Information
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NPI Number | 1396255949
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Entity Type | Organization
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Legal Business Name | LEVEL CARE PHARMACY I LLC
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Dates
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Enumeration Date | 10/10/2017
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Last Update Date | 04/16/2021
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Provider Practice Location Address
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Address Line | 212 CARPENTERS UNION WAY STE 500
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City | LAS VEGAS
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State | NV
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Zip | 89119
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Country | US
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Telephone | 702-905-4435
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Fax | 702-920-7410
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Provider Business Mailing Address
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Address Line | 212 CARPENTERS UNION WAY STE 500
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City | LAS VEGAS
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State | NV
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Zip | 89119-4231
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Country | US
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Telephone | 847-370-9915
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Fax |
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Authorized Official
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Title or Position | VP-PHARMACY CONTRACTING
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Name | MAT KHAN
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Credential |
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Telephone | 847-370-9915
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 2018007412
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | OSP.0007064
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | PH03795
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 054.020657
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | P07692
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License Number State | MD
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Taxonomy #6
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | A9-0002116
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License Number State | DE
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Taxonomy #7
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | PCN.0003419
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License Number State | CT
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Taxonomy #8
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | PH31152
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | PHAR1466
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License Number State | ND
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Taxonomy #10
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 265520
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License Number State | MN
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Taxonomy #11
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 64002460A
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License Number State | IN
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Taxonomy #12
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 22-104763
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License Number State | KS
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Taxonomy #13
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | PHNR001391
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License Number State | GA
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Taxonomy #14
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 28RO00168200
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License Number State | NJ
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Taxonomy #15
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 129516
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License Number State | AK
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