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General NPI Number Information
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NPI Number | 1578050464
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Entity Type | Individual
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Provider Name | DR. DAVID LAWRENCE LEVENS
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Gender | Male
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Dates
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Enumeration Date | 04/17/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 5621 OAK PL
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City | BETHESDA
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State | MD
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Zip | 20817-3525
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Country | US
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Telephone | 301-571-8559
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Fax |
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Provider Business Mailing Address
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Address Line | 5621 OAK PL
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City | BETHESDA
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State | MD
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Zip | 20817-3525
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Country | US
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Telephone | 301-571-8559
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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 | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | D0034411
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License Number State | MD
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