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General NPI Number Information
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NPI Number | 1902959380
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Entity Type | Organization
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Legal Business Name | DAVID S LEVEY MD PA
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 10/21/2010
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Provider Practice Location Address
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Address Line | 622 CINNAMON OAK
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City | SHAVANO PARK
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State | TX
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Zip | 78230-5649
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Country | US
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Telephone | 210-492-0050
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Fax | 210-492-0060
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Provider Business Mailing Address
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Address Line | 622 CINNAMON OAK
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City | SHAVANO PARK
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State | TX
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Zip | 78230-5649
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Country | US
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Telephone | 210-492-0050
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Fax | 210-492-0060
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Authorized Official
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Title or Position | RADIOLOGIST
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Name | DAVID STANLEY LEVEY
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Credential | MD
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Telephone | 210-492-0050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | TX J4892
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License Number State | TX
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