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General NPI Number Information
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NPI Number | 1801862941
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Entity Type | Individual
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Provider Name | LEONARD A LEVIN MD PHD
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Gender | Male
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 06/05/2021
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Provider Practice Location Address
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Address Line | 5252 BOUL DE MAISONNEUVE OUEST STE 400
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City | MONTREAL
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State | QC
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Zip | H4A3S5
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Country | CA
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Telephone | 514-843-1544
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Fax |
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Provider Business Mailing Address
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Address Line | 2396 GRAHAM BLVD
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City | MONT-ROYAL
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State | QC
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Zip | H3R1H9
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Country | CA
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Telephone |
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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 | 207WX0109X
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Taxonomy Name | Neuro-ophthalmology Physician
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License Number | 34469-20
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License Number State | WI
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