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NPI 1285153635

NPI 1285153635 : DAVID N LEVIN M.D. : BOSTON, MA

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General NPI Number Information
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    NPI Number           |    1285153635
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID N LEVIN M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/18/2017
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    Last Update Date     |    11/22/2018
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Provider Practice Location Address
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    Address Line         |    300 LONGWOOD AVENUE, BCH 3216 DEPARTMENT OF ANESTHESIOLOGY, PERIOPERATIVE AND PAIN ME
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    City                 |    BOSTON
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    State                |    MA
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    Zip                  |    02115
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    Country              |    US
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    Telephone            |    617-355-7737
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    300 LONGWOOD AVENUE, BCH 3216 DEPARTMENT OF ANESTHESIOLOGY
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    City                 |    BOSTON
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    State                |    MA
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    Zip                  |    02115
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    Country              |    US
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    Telephone            |    617-355-7737
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    Fax                  |    
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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        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    273321
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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