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General NPI Number Information
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NPI Number | 1912584798
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Entity Type | Individual
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Provider Name | ANDREW JAMES LEVY MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2021
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 777 BANNOCK ST
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City | DENVER
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State | CO
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Zip | 80204-4597
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Country | US
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Telephone | 303-602-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 2657 W BAYAUD AVE
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City | DENVER
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State | CO
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Zip | 80219-2163
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Country | US
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Telephone | 914-924-0490
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DR.0072017
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License Number State | CO
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