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General NPI Number Information
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NPI Number | 1568940492
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Entity Type | Organization
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Legal Business Name | LEVIANT LLC
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Dates
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Enumeration Date | 08/02/2018
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 21700 KINGSLAND BLVD STE 105
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City | KATY
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State | TX
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Zip | 77450-2546
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Country | US
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Telephone | 281-829-6497
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Fax | 281-829-3581
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Provider Business Mailing Address
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Address Line | PO BOX 1197
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City | BRENHAM
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State | TX
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Zip | 77834-1197
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Country | US
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Telephone | 281-829-6497
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Fax | 281-829-5381
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Authorized Official
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Title or Position | MANAGER
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Name | SEUN RAPHEAL OLUWO
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Credential | PHARMD
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Telephone | 281-829-6497
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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