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General NPI Number Information
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NPI Number | 1700875580
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Entity Type | Individual
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Provider Name | PHILIP L LEBOVITZ MD
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Gender | Male
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Dates
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Enumeration Date | 10/14/2005
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Last Update Date | 05/16/2014
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Provider Practice Location Address
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Address Line | 3140 PRINCETON PIKE 2ND FLOOR
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-2306
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Country | US
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Telephone | 609-895-1919
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Fax | 609-895-1200
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Provider Business Mailing Address
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Address Line | 104 PHEASANT RUN SUITE 128
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City | NEWTOWN
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State | PA
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Zip | 18940-3439
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Country | US
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Telephone | 215-860-3344
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Fax | 215-860-8950
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MA26708
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 25MA02670800
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License Number State | NJ
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