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General NPI Number Information
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NPI Number | 1871039149
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Entity Type | Organization
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Legal Business Name | TIMOTHY LEVAR DPM LLC
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Dates
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Enumeration Date | 01/11/2017
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 34600 CHARDON RD UNIT 8
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City | WILLOUGHBY HILLS
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State | OH
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Zip | 44094-8481
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Country | US
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Telephone | 440-585-2640
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Fax | 440-944-5278
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Provider Business Mailing Address
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Address Line | 34600 CHARDON RD SUITE 9A
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City | WILLOUGHBY HILLS
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State | OH
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Zip | 44094-8480
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TIMOTHY LEVAR
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Credential | DPM
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Telephone | 440-585-2640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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