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General NPI Number Information
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NPI Number | 1225227713
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Entity Type | Organization
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Legal Business Name | D LEVI HARRISON MD A PROF CORP
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Dates
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Enumeration Date | 10/19/2007
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 800 S CENTRAL AVE STE 204
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City | GLENDALE
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State | CA
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Zip | 91204-4379
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Country | US
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Telephone | 818-240-8001
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Fax | 818-240-8019
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Provider Business Mailing Address
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Address Line | 800 S CENTRAL AVE STE 204
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City | GLENDALE
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State | CA
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Zip | 91204-4379
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Country | US
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Telephone | 818-240-8001
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Fax | 818-240-8019
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANNY LEVI HARRISON
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Credential | M.D.
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Telephone | 310-989-6260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | A73863
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License Number State | CA
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