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NPI 1396718391

NPI 1396718391 : SHERYL L LEVY MD : WELLESLEY, MA

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General NPI Number Information
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    NPI Number           |    1396718391
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    Entity Type          |    Individual 
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    Provider Name        |    SHERYL L LEVY MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/09/2006
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    Last Update Date     |    10/31/2022
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Provider Practice Location Address
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    Address Line         |    148 LINDEN ST SUITE 202
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    City                 |    WELLESLEY
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    State                |    MA
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    Zip                  |    02482-7916
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    Country              |    US
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    Telephone            |    774-777-9494
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    148 LINDEN ST SUITE 202
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    City                 |    WELLESLEY
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    State                |    MA
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    Zip                  |    02482-7916
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    Country              |    US
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    Telephone            |    774-777-9494
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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        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    225834
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    2080P0006X
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    Taxonomy Name        |    Developmental - Behavioral Pediatrics Physician
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    License Number       |    225834
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    License Number State |    MA
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