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General NPI Number Information
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NPI Number | 1154853661
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Entity Type | Individual
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Provider Name | MICHELLE LEVINS
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Gender | Female
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Dates
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Enumeration Date | 04/03/2017
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 1047 SURF AVE
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City | BROOKLYN
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State | NY
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Zip | 11224-2810
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Country | US
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Telephone | 212-776-9090
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Fax |
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Provider Business Mailing Address
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Address Line | 275 7TH AVE 2 FL
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City | NEW YORK
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State | NY
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Zip | 10001-6708
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Country | US
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Telephone | 212-675-9332
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Fax | 212-604-3844
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ01266500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NR22651600
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F308190
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 729802
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License Number State | NY
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