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NPI Profile for LEAH BEVILACQUA in TAOS, NM.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Case Manager/Care Coordinator |
171M00000X |
| NPI Number | 1437571304 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/13/2014 | |
| Last updated | 07/12/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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LEAH BEVILACQUA
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LEAH BEVILACQUA