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General NPI Number Information
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NPI Number | 1669612206
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Entity Type | Individual
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Provider Name | TAL S M LEVY M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/23/2009
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Last Update Date | 08/29/2022
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Provider Practice Location Address
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Address Line | 525 E 68TH ST BOX 24
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City | NEW YORK
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State | NY
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Zip | 10065-4870
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Country | US
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Telephone | 212-746-2735
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Fax |
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Provider Business Mailing Address
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Address Line | 525 E 68TH ST BOX 24
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City | NEW YORK
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State | NY
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Zip | 10065-4870
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Country | US
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Telephone | 212-746-2735
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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 | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | 49019
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | 252262
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License Number State | NY
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