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General NPI Number Information
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NPI Number | 1235295775
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Entity Type | Individual
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Provider Name | RICHARD MARTIN LEVINE N.P.
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Gender | Male
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 05/17/2019
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Provider Practice Location Address
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Address Line | 3424 KOSSUTH AVE
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City | BRONX
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State | NY
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Zip | 10467-2410
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Country | US
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Telephone | 718-519-5029
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Fax | 718-519-4958
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Provider Business Mailing Address
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Address Line | 121 SUNNYSIDE WAY
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City | NEW ROCHELLE
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State | NY
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Zip | 10804-2226
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Country | US
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Telephone | 914-633-0797
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Fax | 914-633-0798
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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 | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | F381435
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 381435
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 381435
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License Number State | NY
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