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General NPI Number Information
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NPI Number | 1063712594
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Entity Type | Individual
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Provider Name | JENNIFER LEVY MD
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Gender | Female
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Dates
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Enumeration Date | 11/01/2010
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 18321 CLARK ST
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City | TARZANA
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State | CA
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Zip | 91356-3501
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Country | US
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Telephone | 818-881-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 3701 WILSHIRE BLVD 600
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City | LOS ANGELES
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State | CA
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Zip | 90010-2804
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Country | US
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Telephone | 323-361-2337
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Fax | 323-361-8491
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 4301100627
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A112337
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | A112337
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License Number State | CA
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