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General NPI Number Information
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NPI Number | 1538385943
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Entity Type | Organization
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Legal Business Name | MARK DAVID LEVINEM MD SUNNYVALE PC
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 08/20/2013
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Provider Practice Location Address
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Address Line | 256 GIBRALTAR DR 103
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City | SUNNYVALE
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State | CA
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Zip | 94089-1304
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Country | US
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Telephone | 408-400-0333
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Fax | 408-400-0437
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Provider Business Mailing Address
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Address Line | 3841 N FREEWAY BLVD 120
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City | SACRAMENTO
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State | CA
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Zip | 95834-1949
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Country | US
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Telephone | 916-576-7898
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Fax | 916-285-0338
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARK DAVID LEVINE
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Credential | MD
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Telephone | 916-576-7898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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