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General NPI Number Information
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NPI Number | 1437427325
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Entity Type | Organization
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Legal Business Name | MICHAEL LEVIN PHYSICIAN, PLLC
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Dates
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Enumeration Date | 12/06/2011
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Last Update Date | 12/06/2011
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Provider Practice Location Address
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Address Line | 708 GREENWICH ST SUITE 1A
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City | NEW YORK
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State | NY
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Zip | 10014-2585
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Country | US
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Telephone | 212-645-1452
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Fax |
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Provider Business Mailing Address
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Address Line | 708 GREENWICH ST SUITE 1A
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City | NEW YORK
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State | NY
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Zip | 10014-2585
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Country | US
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Telephone | 212-645-1452
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Fax |
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Authorized Official
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Title or Position | COO
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Name | DR. MICHAEL DAVID LEVIN
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Credential | MD
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Telephone | 212-645-1452
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 148299
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License Number State | NY
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