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General NPI Number Information
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NPI Number | 1659330322
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Entity Type | Individual
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Provider Name | HOWARD B LEVINSON O.D
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Gender | Male
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 10/19/2010
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Provider Practice Location Address
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Address Line | 150 RIVER RD BLDG M
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City | MONTVILLE
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State | NJ
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Zip | 07045-9441
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Country | US
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Telephone | 973-263-8000
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Fax | 973-316-9644
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Provider Business Mailing Address
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Address Line | 150 RIVER RD BLDG M
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City | MONTVILLE
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State | NJ
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Zip | 07045-9441
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Country | US
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Telephone | 973-263-8000
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Fax | 973-316-9644
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OA003812
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License Number State | NJ
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