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General NPI Number Information
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NPI Number | 1942209424
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Entity Type | Individual
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Provider Name | JOHN B LLEWELYN MD
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Gender | Male
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Dates
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Enumeration Date | 07/18/2005
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 926 N MICHIGAN AVE
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City | SAGINAW
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State | MI
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Zip | 48602-4323
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Country | US
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Telephone | 989-753-8453
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Fax | 989-753-3519
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Provider Business Mailing Address
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Address Line | 926 N MICHIGAN AVE
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City | SAGINAW
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State | MI
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Zip | 48602-4323
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Country | US
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Telephone | 989-753-8453
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Fax | 989-753-3519
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | JL060216
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4301060216
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License Number State | MI
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