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General NPI Number Information
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NPI Number | 1437295300
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Entity Type | Organization
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Legal Business Name | LEVIN EYE CARE SERVICES INC
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/25/2008
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Provider Practice Location Address
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Address Line | 4313 EBENEZER RD
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City | NOTTINGHAM
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State | MD
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Zip | 21236-2143
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Country | US
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Telephone | 410-529-1950
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Fax | 410-529-9073
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Provider Business Mailing Address
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Address Line | 4313 EBENEZER RD
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City | NOTTINGHAM
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State | MD
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Zip | 21236-2143
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Country | US
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Telephone | 410-529-1950
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Fax | 410-529-9073
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DR. HOWARD H. LEVIN
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Credential | O.D.
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Telephone | 410-529-1950
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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 |
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License Number State | MD
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