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General NPI Number Information
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NPI Number | 1669823175
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Entity Type | Individual
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Provider Name | DAVID WEINTHROP LEVINE D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2016
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Last Update Date | 08/18/2016
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Provider Practice Location Address
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Address Line | 832 WALDEN AVE
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City | BUFFALO
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State | NY
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Zip | 14211-2639
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Country | US
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Telephone | 716-381-9046
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Fax | 716-436-3187
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Provider Business Mailing Address
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Address Line | 832 WALDEN AVE
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City | BUFFALO
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State | NY
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Zip | 14211-2639
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Country | US
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Telephone | 716-381-9046
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Fax | 716-436-3187
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 246317
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 60246317
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License Number State | NY
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