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General NPI Number Information
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NPI Number | 1730222704
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Entity Type | Individual
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Provider Name | FLORA LEVINE OD
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Gender | Female
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 07/29/2016
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Provider Practice Location Address
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Address Line | 25913 UNION TPKE GLEN OAKS FAMILY VISION
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City | GLEN OAKS
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State | NY
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Zip | 11004-1248
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Country | US
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Telephone | 718-347-7470
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Fax | 718-347-7493
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Provider Business Mailing Address
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Address Line | 1570 STEVENSON RD
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City | HEWLETT
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State | NY
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Zip | 11557
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Country | US
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Telephone | 718-743-5055
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TUV6241
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License Number State | NY
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