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General NPI Number Information
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NPI Number | 1922140094
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Entity Type | Individual
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Provider Name | STELLA LEVIYEVA ARNP
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Gender | Female
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 3301 QUANTUM BLVD
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-8668
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Country | US
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Telephone | 561-836-1610
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Fax |
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Provider Business Mailing Address
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Address Line | 3301 QUANTUM BLVD
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City | BOYTON BEACH
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State | FL
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Zip | 33246-2874
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Country | US
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Telephone | 954-559-8699
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3029592
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License Number State | FL
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