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General NPI Number Information
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NPI Number | 1619976123
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Entity Type | Individual
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Provider Name | STEVEN LEVINE M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/18/2005
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Last Update Date | 09/03/2020
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Provider Practice Location Address
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Address Line | 12289 HANCOCK ST SUITE 34
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City | CARMEL
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State | IN
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Zip | 46032-5801
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Country | US
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Telephone | 317-815-8950
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Fax | 317-815-8951
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Provider Business Mailing Address
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Address Line | 12289 HANCOCK ST SUITE 34
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City | CARMEL
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State | IN
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Zip | 46032-5801
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Country | US
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Telephone | 317-815-8950
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Fax | 317-815-8951
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 01045613
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License Number State | IN
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