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General NPI Number Information
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NPI Number | 1417478702
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Entity Type | Organization
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Legal Business Name | MICHELLE A LEVIN M D INC.
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Dates
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Enumeration Date | 06/28/2017
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Last Update Date | 06/28/2017
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Provider Practice Location Address
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Address Line | 3655 W 5TH ST
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City | OXNARD
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State | CA
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Zip | 93030-6424
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Country | US
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Telephone | 805-667-3909
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Fax | 805-667-3910
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Provider Business Mailing Address
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Address Line | 5855 OLIVAS PARK DR
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City | VENTURA
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State | CA
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Zip | 93003-7672
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Country | US
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Telephone | 805-667-2801
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Fax | 805-667-2865
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Authorized Official
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Title or Position | INSURANCE CONTRACTOR
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Name | SONIA CHAVEZ
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Credential |
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Telephone | 805-652-5469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | A130179
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License Number State | CA
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