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General NPI Number Information
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NPI Number | 1376627349
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Entity Type | Organization
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Legal Business Name | HOWARD M LEVIN MD INC
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 08/14/2014
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Provider Practice Location Address
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Address Line | 2640 ZUCK RD
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City | ERIE
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State | PA
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Zip | 16506-3151
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Country | US
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Telephone | 814-838-9555
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Fax | 814-835-7776
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Provider Business Mailing Address
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Address Line | 2640 ZUCK RD
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City | ERIE
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State | PA
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Zip | 16506-3151
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Country | US
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Telephone | 814-838-9555
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Fax | 814-835-7776
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Authorized Official
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Title or Position | OPHTHALMOLOGIST/OWNER
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Name | DR. HOWARD MYLES LEVIN
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Credential | M.D.
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Telephone | 814-838-9555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG000611
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 027785E
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License Number State | PA
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