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General NPI Number Information
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NPI Number | 1568046613
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Entity Type | Individual
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Provider Name | ANDREW LEYVA PMHNP AGACNP
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Gender | Male
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Dates
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Enumeration Date | 05/05/2021
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 12245 BIDDLESTON DR
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City | EL PASO
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State | TX
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Zip | 79928
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Country | US
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Telephone | 915-227-8271
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Fax |
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Provider Business Mailing Address
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Address Line | 1512 N ZARAGOZA RD STE B
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City | EL PASO
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State | TX
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Zip | 79936-8903
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Country | US
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Telephone | 915-213-0900
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1033752
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1033752
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 75521
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 75521
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License Number State | NM
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 115963
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License Number State | NE
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Taxonomy #6
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 75521
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License Number State | NM
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