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General NPI Number Information
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NPI Number | 1790902245
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Entity Type | Organization
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Legal Business Name | DR. ROBERT E. LEVIN
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 131 BOSTON POST RD SUITE 5
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City | EAST LYME
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State | CT
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Zip | 06333
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Country | US
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Telephone | 860-691-1044
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Fax | 860-691-1050
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Provider Business Mailing Address
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Address Line | 131 BOSTON POST RD P.O. BOX 490
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City | EAST LYME
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State | CT
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Zip | 06333
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Country | US
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Telephone | 860-691-1044
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Fax | 860-691-1050
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Authorized Official
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Title or Position | MD
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Name | DR. ROBERT LEVIN
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Credential |
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Telephone | 860-691-1044
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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 | 023047
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License Number State | CT
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