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General NPI Number Information
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NPI Number | 1477717700
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Entity Type | Organization
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Legal Business Name | LEIGH ANN LEVINE, DO PLLC
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Dates
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Enumeration Date | 07/16/2008
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Last Update Date | 07/16/2008
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Provider Practice Location Address
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Address Line | 2501 3RD AVE
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City | HUNTINGTON
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State | WV
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Zip | 25703-1614
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Country | US
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Telephone | 304-525-7471
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Fax | 304-525-6003
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Provider Business Mailing Address
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Address Line | 2501 3RD AVE
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City | HUNTINGTON
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State | WV
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Zip | 25703-1614
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Country | US
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Telephone | 304-525-7471
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Fax | 304-525-6003
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Authorized Official
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Title or Position | OWNER, PHYSICIAN
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Name | DR. LEIGH ANN LEVINE
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Credential | DO
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Telephone | 304-525-7471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 1789
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License Number State | WV
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