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NPI 1750530382

NPI 1750530382 : ALEX V LEVIN MD : ROCHESTER, NY

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General NPI Number Information
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    NPI Number           |    1750530382
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    Entity Type          |    Individual 
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    Provider Name        |    ALEX V LEVIN MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/18/2008
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    Last Update Date     |    07/03/2023
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Provider Practice Location Address
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    Address Line         |    601 ELMWOOD AVE 
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    City                 |    ROCHESTER
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    State                |    NY
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    Zip                  |    14642-5109
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    Country              |    US
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    Telephone            |    585-273-3937
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    Fax                  |    585-273-1043
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Provider Business Mailing Address
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    Address Line         |    601 ELMWOOD AVE BOX 659 
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    City                 |    ROCHESTER
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    State                |    NY
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    Zip                  |    14642-0001
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    Country              |    US
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    Telephone            |    585-273-3937
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    Fax                  |    585-273-1043
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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        |    207WX0110X
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    Taxonomy Name        |    Pediatric Ophthalmology and Strabismus Specialist Physician Physician
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    License Number       |    306898
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    306898
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    License Number State |    NY
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