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General NPI Number Information
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NPI Number | 1760423966
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Entity Type | Individual
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Provider Name | DEBORAH LEVINE MD
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Gender | Female
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 03/02/2010
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Provider Practice Location Address
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Address Line | 330 BROOKLINE AVE BETH ISRAEL DEACONESS MEDICAL CENTER
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City | BOSTON
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State | MA
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Zip | 02215-5491
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Country | US
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Telephone | 617-667-8901
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Fax | 617-667-8212
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Provider Business Mailing Address
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Address Line | 147 SHERBURN CIR
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City | WESTON
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State | MA
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Zip | 02493-1049
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Country | US
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Telephone | 781-235-1697
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 79542
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | G66972
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License Number State | CA
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