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General NPI Number Information
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NPI Number | 1003310012
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Entity Type | Individual
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Provider Name | RYKIEL HALEY LEVINE
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Gender | Female
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 03/24/2023
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Provider Practice Location Address
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Address Line | 3999 RICHMOND RD
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City | BEACHWOOD
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State | OH
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Zip | 44122-6046
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Country | US
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Telephone | 240-686-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 1220 W 6TH ST APT 806
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City | CLEVELAND
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State | OH
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Zip | 44113-1329
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Country | US
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Telephone |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 73760
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 309046
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 34.015534
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License Number State | OH
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