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General NPI Number Information
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NPI Number | 1659516144
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Entity Type | Organization
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Legal Business Name | LEVY MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 12/11/2008
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Last Update Date | 12/11/2008
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Provider Practice Location Address
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Address Line | 5965 CHESTER AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19143-5517
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Country | US
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Telephone | 215-727-2442
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Fax | 215-727-8070
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Provider Business Mailing Address
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Address Line | 5965 CHESTER AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19143-5517
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Country | US
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Telephone | 215-727-2442
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Fax | 215-727-8070
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HOWARD R. LEVY
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Credential | D.O.
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Telephone | 212-727-2442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | OS002557L
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License Number State | PA
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