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NPI 1285915579

NPI 1285915579 : MICHAEL A LEVY : OVERLAND PARK, KS

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General NPI Number Information
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    NPI Number           |    1285915579
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    Entity Type          |    Individual 
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    Provider Name        |    MICHAEL A LEVY
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/31/2011
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    Last Update Date     |    08/31/2011
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Provider Practice Location Address
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    Address Line         |    8450 W 151ST ST 
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    City                 |    OVERLAND PARK
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    State                |    KS
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    Zip                  |    66223-2108
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    Country              |    US
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    Telephone            |    913-814-7977
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    13722 GOODMAN ST 
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    City                 |    OVERLAND PARK
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    State                |    KS
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    Zip                  |    66223-1146
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    Country              |    US
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    Telephone            |    816-695-4455
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    1-14632
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    License Number State |    KS
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Taxonomy #2
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    40849
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    License Number State |    MO
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