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General NPI Number Information
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NPI Number | 1497850937
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Entity Type | Individual
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Provider Name | JOSEPH LEVY MD
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Gender | Male
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 12/01/2021
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Provider Practice Location Address
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Address Line | 112 PIPER HILL DR STE 12
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City | SAINT PETERS
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State | MO
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Zip | 63376-1690
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Country | US
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Telephone | 636-939-9202
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Fax | 636-939-9113
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Provider Business Mailing Address
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Address Line | 12855 N 40 DR STE 375
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8657
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Country | US
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Telephone | 314-567-6071
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Fax | 314-434-1277
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | R3F63
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License Number State | MO
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