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NPI 1427726645

NPI 1427726645 : CHRISTLOVE LEVEILLE : FORT LAUDERDALE, FL

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General NPI Number Information
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    NPI Number           |    1427726645
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTLOVE LEVEILLE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/01/2021
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    Last Update Date     |    09/01/2021
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Provider Practice Location Address
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    Address Line         |    1600 S ANDREWS AVE 
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    City                 |    FORT LAUDERDALE
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    State                |    FL
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    Zip                  |    33316-2510
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    Country              |    US
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    Telephone            |    561-631-0159
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1900 W OAKLAND PARK BLVD UNIT 5051 
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    City                 |    OAKLAND PARK
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    State                |    FL
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    Zip                  |    33310-0110
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    Country              |    US
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    Telephone            |    561-631-0159
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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        |    374J00000X
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    Taxonomy Name        |    Doula
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    License Number       |    
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    License Number State |    FL
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