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General NPI Number Information
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NPI Number | 1235027293
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Entity Type | Organization
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Legal Business Name | LEV GRINMAN MD 11 PC
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 1401 21ST ST STE R
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City | SACRAMENTO
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State | CA
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Zip | 95811-5226
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Country | US
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Telephone | 615-499-3165
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Fax |
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Provider Business Mailing Address
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Address Line | 329 S OYSTER BAY RD # 2059
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City | PLAINVIEW
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State | NY
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Zip | 11803-3301
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LEV GRINMAN
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Credential | MD
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Telephone | 615-499-3165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0000X
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Taxonomy Name | Adolescent Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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