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General NPI Number Information
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NPI Number | 1902922586
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Entity Type | Individual
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Provider Name | JENNY YEE-LEVIN RPAC
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Gender | Female
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 827 11TH AVE
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City | NEW YORK
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State | NY
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Zip | 10019-3535
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Country | US
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Telephone | 212-369-5566
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Fax | 929-992-9303
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Provider Business Mailing Address
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Address Line | 450 EAST 63RD STREET, 11C
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City | NEW YORK
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State | NY
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Zip | 10021
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Country | US
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Telephone | 646-373-7412
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Fax | 212-583-1141
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 008584-1
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License Number State | NY
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