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General NPI Number Information
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NPI Number | 1801073382
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Entity Type | Organization
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Legal Business Name | LEVIN OPTOMETRIC ASSOCIATES
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Dates
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Enumeration Date | 01/27/2008
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 301 YORK RD SUITE #106
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City | WARMINSTER
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State | PA
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Zip | 18974-4543
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Country | US
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Telephone | 215-442-9255
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Fax | 215-442-9257
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Provider Business Mailing Address
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Address Line | 301 YORK RD SUITE #106
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City | WARMINSTER
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State | PA
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Zip | 18974-4543
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Country | US
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Telephone | 215-442-9255
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Fax | 215-442-9257
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GLENN S LEVIN
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Credential | OD
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Telephone | 215-442-9255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | OEG000902
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License Number State | PA
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