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General NPI Number Information
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NPI Number | 1750523759
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Entity Type | Individual
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Provider Name | LORI MARIE LEVIN LPN
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Gender | Female
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Dates
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Enumeration Date | 04/06/2009
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Last Update Date | 04/06/2009
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Provider Practice Location Address
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Address Line | 7300 SUN ISLAND DR S UNIT 305
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City | SOUTH PASADENA
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State | FL
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Zip | 33707-4483
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Country | US
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Telephone | 727-289-1112
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Fax |
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Provider Business Mailing Address
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Address Line | 7300 SUN ISLAND DR S UNIT 305
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City | SOUTH PASADENA
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State | FL
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Zip | 33707-4483
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Country | US
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Telephone | 727-289-1112
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 257375-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN 5179495
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License Number State | FL
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