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General NPI Number Information
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NPI Number | 1902481484
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Entity Type | Organization
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Legal Business Name | IT'S LEVELS, LLC
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Dates
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Enumeration Date | 03/16/2021
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Last Update Date | 03/16/2021
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Provider Practice Location Address
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Address Line | 3561 W SIEBENTHALER AVE
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City | DAYTON
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State | OH
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Zip | 45406-1535
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Country | US
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Telephone | 937-516-1312
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Fax |
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Provider Business Mailing Address
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Address Line | 4173 OAKRIDGE DR
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City | DAYTON
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State | OH
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Zip | 45417-1220
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Country | US
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Telephone | 937-516-1312
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Fax | 937-496-5018
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Authorized Official
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Title or Position | OWNER/ PRESIDENT
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Name | TRE'VONNIE J.N SORRELLS- JOHNSON
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Credential |
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Telephone | 937-516-1312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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