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General NPI Number Information
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NPI Number | 1891980710
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Entity Type | Organization
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Legal Business Name | HAROLD D LEVY MD PC
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 09/13/2007
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Provider Practice Location Address
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Address Line | 140 MONTOWESE ST
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City | BRANFORD
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State | CT
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Zip | 06405
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Country | US
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Telephone | 203-488-7248
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Fax | 203-483-1222
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Provider Business Mailing Address
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Address Line | 140 MONTOWESE ST
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City | BRANFORD
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State | CT
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Zip | 06405
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Country | US
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Telephone | 203-488-7248
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Fax | 203-483-1222
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Authorized Official
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Title or Position | PRESIDENT
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Name | HAROLD DAVID LEVY
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Credential | MD
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Telephone | 203-488-7248
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 10370
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 10370
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 10370
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License Number State | CT
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