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General NPI Number Information
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NPI Number | 1750652053
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Entity Type | Individual
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Provider Name | LEVY RILEY III D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/18/2012
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Last Update Date | 02/01/2017
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Provider Practice Location Address
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Address Line | 7400 RIVERDALE RD
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City | LANHAM
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State | MD
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Zip | 20706-1136
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Country | US
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Telephone | 301-577-6556
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Fax |
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Provider Business Mailing Address
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Address Line | 9658 BALTIMORE AVE STE 420
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City | COLLEGE PARK
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State | MD
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Zip | 20740-1358
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Country | US
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Telephone | 301-577-6556
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH 10473
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | S03768
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License Number State | MD
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