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General NPI Number Information
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NPI Number | 1861557506
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Entity Type | Individual
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Provider Name | REGINA YVONNE LEVERRIER MD
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Gender | Female
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 4441 E KINGS CANYON ROAD
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City | FRESNO
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State | CA
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Zip | 93702
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Country | US
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Telephone | 559-600-4099
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Fax |
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Provider Business Mailing Address
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Address Line | 15257 W WARREN DR
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City | LAKEWOOD
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State | CO
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Zip | 80228-6432
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Country | US
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Telephone | 917-328-0799
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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 | 180469
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036.146208
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | DR.48092
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G170039
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License Number State | CA
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