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General NPI Number Information
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NPI Number | 1720256639
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Entity Type | Organization
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Legal Business Name | MICHAEL L LEWIN MD PC
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 06/14/2013
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Provider Practice Location Address
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Address Line | 109 E 61ST ST
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City | NEW YORK
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State | NY
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Zip | 10065-8101
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Country | US
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Telephone | 212-980-9424
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Fax | 212-888-0930
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Provider Business Mailing Address
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Address Line | 109 E 61ST ST
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City | NEW YORK
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State | NY
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Zip | 10065-8101
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Country | US
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Telephone | 212-980-9424
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Fax | 212-888-0930
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL L LEWIN
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Credential | M.D.
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Telephone | 212-980-9424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 130048
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License Number State | NY
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