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General NPI Number Information
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NPI Number | 1548401524
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Entity Type | Individual
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Provider Name | PHILLIP ALAN LEVIN D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/20/2009
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Last Update Date | 03/20/2009
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Provider Practice Location Address
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Address Line | 600 SOMERDALE RD SUITE 206 ECHELON MED. CTR.
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City | VOORHEES
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State | NJ
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Zip | 08043-1858
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Country | US
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Telephone | 956-795-4925
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Fax | 856-795-5164
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Provider Business Mailing Address
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Address Line | 24 OLD STEVENS LN
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City | VOORHEES
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State | NJ
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Zip | 08043-3430
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Country | US
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Telephone | 856-435-7840
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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 | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | MC02242
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License Number State | NJ
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