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General NPI Number Information
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NPI Number | 1548348931
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Entity Type | Individual
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Provider Name | MIRIAM LEVITT MD
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1 PONDFIELD RD SUITE 303
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City | BRONXVILLE
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State | NY
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Zip | 10708-3706
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Country | US
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Telephone | 914-961-3604
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Fax |
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Provider Business Mailing Address
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Address Line | 10 LOCKWOOD RD
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City | SCARSDALE
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State | NY
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Zip | 10583-5302
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Country | US
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Telephone | 914-723-4236
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 113936
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License Number State | NY
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