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General NPI Number Information
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NPI Number | 1093752651
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Entity Type | Individual
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Provider Name | JOHN B. LEVINE MD
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Gender | Male
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 14 PROSPECT STREET
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City | MILFORD
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State | MA
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Zip | 01757-3003
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Country | US
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Telephone | 508-482-5444
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Fax | 508-482-5408
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Provider Business Mailing Address
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Address Line | 124 GROVE ST. SUITE 305
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City | FRANKLIN
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State | MA
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Zip | 02038-3156
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Country | US
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Telephone | 508-528-5392
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Fax | 508-541-2420
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 46362
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 159761
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License Number State | MA
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