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General NPI Number Information
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NPI Number | 1861646945
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Entity Type | Individual
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Provider Name | LEVI SINGZON ALIPOSA
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Gender | Male
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Dates
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Enumeration Date | 11/16/2008
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Last Update Date | 11/16/2008
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Provider Practice Location Address
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Address Line | 7833 S KILBOURN AVE
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City | CHICAGO
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State | IL
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Zip | 60652-1105
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Country | US
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Telephone | 773-581-4691
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Fax |
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Provider Business Mailing Address
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Address Line | 3313 W SUNNYSIDE AVE UNIT 3A
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City | CHICAGO
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State | IL
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Zip | 60625-5409
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Country | US
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Telephone | 773-491-2810
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Fax | 773-539-0294
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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