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General NPI Number Information
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NPI Number | 1790014330
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Entity Type | Organization
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Legal Business Name | SEYMOUR LEVINE MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 12/10/2009
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Last Update Date | 12/10/2009
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Provider Practice Location Address
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Address Line | 150 N ROBERTSON BLVD SUITE 350
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2127
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Country | US
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Telephone | 310-657-2855
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Fax | 310-657-7433
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Provider Business Mailing Address
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Address Line | 150 N ROBERTSON BLVD SUITE 350
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2127
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Country | US
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Telephone | 310-657-2855
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Fax | 310-657-7433
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Authorized Official
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Title or Position | PRESIDENT
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Name | SEYMOUR LEVINE
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Credential | MD
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Telephone | 310-657-2855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | C34469
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License Number State | CA
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