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General NPI Number Information
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NPI Number | 1942326376
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Entity Type | Individual
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Provider Name | CATHY H LEVENTAKIS O.D.
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Gender | Female
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 12/14/2021
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Provider Practice Location Address
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Address Line | 3831 HUGHES AVE SUITE 500
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City | CULVER CITY
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State | CA
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Zip | 90232-2751
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Country | US
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Telephone | 310-838-3834
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Fax | 310-838-3081
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Provider Business Mailing Address
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Address Line | 1150 KWIS AVE
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-2112
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Country | US
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Telephone | 626-222-3711
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Fax | 310-838-8031
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT13049
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License Number State | CA
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