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General NPI Number Information
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NPI Number | 1457563520
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Entity Type | Organization
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Legal Business Name | STEVEN A. LEVY, DPM, PC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 09/17/2015
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Provider Practice Location Address
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Address Line | 297 KINDERKAMACK RD SUITE 208
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City | ORADELL
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State | NJ
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Zip | 07649-1538
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Country | US
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Telephone | 201-261-7407
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Fax | 201-261-7409
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Provider Business Mailing Address
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Address Line | 297 KINDERKAMACK RD SUITE 208
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City | ORADELL
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State | NJ
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Zip | 07649-1538
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Country | US
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Telephone | 201-261-7407
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Fax | 201-261-7409
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN A. LEVY
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Credential | D.P.M
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Telephone | 201-261-7407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | MD001796
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License Number State | NJ
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