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General NPI Number Information
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NPI Number | 1730471277
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Entity Type | Organization
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Legal Business Name | DANIEL E LEVIN M D S C
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Dates
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Enumeration Date | 05/03/2011
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Last Update Date | 05/03/2011
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Provider Practice Location Address
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Address Line | 122 S MICHIGAN AVE SUITE 1025
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City | CHICAGO
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State | IL
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Zip | 60603-6191
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Country | US
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Telephone | 312-553-4550
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Fax | 315-553-4723
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Provider Business Mailing Address
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Address Line | 122 S MICHIGAN AVE SUITE 1025
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City | CHICAGO
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State | IL
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Zip | 60603-6191
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Country | US
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Telephone | 312-553-4550
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Fax | 315-553-4723
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL E LEVIN
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Credential | M.D.
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Telephone | 312-353-4550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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