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General NPI Number Information
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NPI Number | 1255481180
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Entity Type | Individual
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Provider Name | MATTHEW EVAN LEVY M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 500 PINEVIEW DR SUITE 101
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City | KERNERSVILLE
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State | NC
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Zip | 27284-3812
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Country | US
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Telephone | 336-992-1351
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Fax | 336-992-1361
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Provider Business Mailing Address
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Address Line | PO BOX 751803
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City | CHARLOTTE
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State | NC
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Zip | 28275-1803
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Country | US
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Telephone | 336-992-1351
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Fax | 336-992-1361
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | MD426686
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 2014-01895
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License Number State | NC
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