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General NPI Number Information
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NPI Number | 1316980782
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Entity Type | Individual
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Provider Name | SETH E LEVY MD
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 01/06/2022
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Provider Practice Location Address
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Address Line | 16 POCONO ROAD SUITE 317
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City | DENVILLE
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State | NJ
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Zip | 07834
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Country | US
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Telephone | 973-627-2650
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Fax | 973-627-8383
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Provider Business Mailing Address
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Address Line | 404 LIPPINCOTT DR STE 317
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City | MARLTON
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State | NJ
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Zip | 08053-4112
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Country | US
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Telephone | 856-782-3300
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Fax | 565-048-0298
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA06882000
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License Number State | NJ
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