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General NPI Number Information
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NPI Number | 1467487207
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Entity Type | Individual
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Provider Name | RICHARD LEVINE MD
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 89 SPARTA AVE SUITE 120
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City | SPARTA
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State | NJ
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Zip | 07871-1777
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Country | US
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Telephone | 973-729-0002
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Fax | 973-726-4456
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Provider Business Mailing Address
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Address Line | 241 NEWTON SPARTA RD
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City | NEWTON
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State | NJ
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Zip | 07860-2771
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Country | US
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Telephone | 973-726-0498
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Fax | 973-383-3937
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MA44314
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License Number State | NJ
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