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General NPI Number Information
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NPI Number | 1457706715
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Entity Type | Individual
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Provider Name | RIGOBERTO LEYVA
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Gender | Male
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Dates
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Enumeration Date | 04/25/2016
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Last Update Date | 07/28/2021
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Provider Practice Location Address
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Address Line | 10 NATHAN D PERLMAN PL
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City | NEW YORK
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State | NY
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Zip | 10003-3841
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Country | US
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Telephone | 787-689-0195
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Fax |
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Provider Business Mailing Address
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Address Line | 10453 CHINABERRY DR
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City | EL PASO
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State | TX
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Zip | 79925-7832
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Country | US
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Telephone | 787-689-0195
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 304906
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License Number State | NY
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