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General NPI Number Information
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NPI Number | 1659544740
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Entity Type | Organization
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Legal Business Name | SETH LEVRANT M.D.,P.C.
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Dates
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Enumeration Date | 04/09/2008
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 16345 HARLEM AVE
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City | TINLEY PARK
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State | IL
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Zip | 60477-2589
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Country | US
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Telephone | 708-532-7017
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Fax |
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Provider Business Mailing Address
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Address Line | 505 FAIR OAKS AVE
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City | OAK PARK
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State | IL
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Zip | 60302-2243
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. SETH LEVRANT
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Credential | MD
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Telephone | 708-267-9182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number |
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License Number State | IL
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