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General NPI Number Information
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NPI Number | 1689613036
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Entity Type | Organization
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Legal Business Name | STEVEN LEVENBERG, M.D., P.C.
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 02/24/2010
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Provider Practice Location Address
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Address Line | 667 CHAMBERS ST
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City | TRENTON
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State | NJ
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Zip | 08611-3701
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Country | US
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Telephone | 609-393-4656
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Fax | 609-393-4388
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Provider Business Mailing Address
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Address Line | 667 CHAMBERS ST
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City | TRENTON
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State | NJ
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Zip | 08611-3701
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Country | US
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Telephone | 609-393-4656
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Fax | 609-393-4388
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. STEVEN LEVENBERG
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Credential | M.D.
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Telephone | 609-393-4656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA040306
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License Number State | NJ
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