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General NPI Number Information
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NPI Number | 1639254956
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Entity Type | Individual
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Provider Name | SCOTT C. LEVY MD
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Gender | Male
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 07/26/2019
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Provider Practice Location Address
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Address Line | 6001 BOLLINGER CANYON RD
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City | SAN RAMON
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State | CA
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Zip | 94583-2324
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Country | US
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Telephone | 925-254-2995
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6046
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City | SAN RAMON
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State | CA
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Zip | 94583-0746
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Country | US
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Telephone | 510-685-5487
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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 | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | A90816
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License Number State | CA
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