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General NPI Number Information
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NPI Number | 1114123247
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Entity Type | Individual
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Provider Name | KIMBERLY ANNE LEVITT M.D., M.P.H.
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Gender | Female
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 04/30/2021
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Provider Practice Location Address
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Address Line | 4056 QUAKERBRIDGE RD STE 101
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-4779
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Country | US
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Telephone | 609-528-9150
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Fax | 609-528-9151
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Provider Business Mailing Address
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Address Line | 179 CARTER RD
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City | PRINCETON
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State | NJ
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Zip | 08540-2105
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Country | US
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Telephone | 215-510-0310
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Fax | 609-688-0599
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA08545100
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License Number State | NJ
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