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General NPI Number Information
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NPI Number | 1871435529
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Entity Type | Individual
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Provider Name | RAEGAN ALLISON LEVI
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Gender | Female
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 04/09/2026
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Provider Practice Location Address
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Address Line | 3428 J ST
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City | LINCOLN
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State | NE
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Zip | 68510-3330
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Country | US
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Telephone | 202-803-1985
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Fax |
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Provider Business Mailing Address
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Address Line | 113 CORTLAND CT
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City | NORWALK
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State | IA
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Zip | 50211-8003
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Country | US
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Telephone | 515-336-3862
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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 | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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