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General NPI Number Information
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NPI Number | 1497756290
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Entity Type | Individual
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Provider Name | RONALD M LEVIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/03/2005
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 8881 FLETCHER PKWY STE 100
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City | LA MESA
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State | CA
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Zip | 91942-3128
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Country | US
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Telephone | 619-698-0930
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Fax |
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Provider Business Mailing Address
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Address Line | 8158 SANTALUZ VILLAGE GRN N
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City | SAN DIEGO
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State | CA
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Zip | 92127-2520
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Country | US
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Telephone | 858-382-5689
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Fax |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A38788
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License Number State | CA
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