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General NPI Number Information
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NPI Number | 1356522163
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Entity Type | Organization
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Legal Business Name | ANDREW S. LEVIN, M.D., P.C.
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Dates
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Enumeration Date | 11/20/2007
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Last Update Date | 11/20/2007
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Provider Practice Location Address
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Address Line | 10 HOSPITAL DR STE # 307
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City | HOLYOKE
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State | MA
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Zip | 01040-6603
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Country | US
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Telephone | 413-534-3244
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Fax | 413-535-3297
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Provider Business Mailing Address
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Address Line | 10 HOSPITAL DR STE # 307
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City | HOLYOKE
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State | MA
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Zip | 01040-6603
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Country | US
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Telephone | 413-534-3244
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Fax | 413-535-3297
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Authorized Official
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Title or Position | OWNER / PHYSICIAN
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Name | DR. ANDREW S. LEVIN
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Credential | M.D.
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Telephone | 413-534-3244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | MA
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