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NPI 1710481734

NPI 1710481734 : ALEXANDRA LIZA LEVINE DO : MORRISTOWN, NJ

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General NPI Number Information
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    NPI Number           |    1710481734
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    Entity Type          |    Individual 
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    Provider Name        |    ALEXANDRA LIZA LEVINE DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/23/2018
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    Last Update Date     |    12/02/2025
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Provider Practice Location Address
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    Address Line         |    100 MADISON AVE 
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    City                 |    MORRISTOWN
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    State                |    NJ
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    Zip                  |    07960-6136
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    Country              |    US
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    Telephone            |    973-971-5000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    12 LONERGAN LN 
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    City                 |    WEST ORANGE
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    State                |    NJ
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    Zip                  |    07052-6601
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    Country              |    US
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    Telephone            |    973-865-5152
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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        |    207RP1001X
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    Taxonomy Name        |    Pulmonary Disease Physician
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    License Number       |    103247
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    License Number State |    WI
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