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General NPI Number Information
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NPI Number | 1104159037
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Entity Type | Individual
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Provider Name | ROBERT AARON LEVINE MD
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Gender | Male
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Dates
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Enumeration Date | 09/10/2009
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Last Update Date | 09/10/2009
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Provider Practice Location Address
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Address Line | 137 WINTHROP RD
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City | GUILFORD
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State | CT
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Zip | 06437-1632
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Country | US
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Telephone | 203-671-0840
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Fax |
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Provider Business Mailing Address
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Address Line | 137 WINTHROP RD
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City | GUILFORD
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State | CT
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Zip | 06437-1632
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Country | US
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Telephone | 203-671-0840
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 013690
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License Number State | CT
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