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General NPI Number Information
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NPI Number | 1932321395
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Entity Type | Individual
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Provider Name | MIA ALYCE LEVY MD
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Gender | Female
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | VANDERBILT INGRAM CANCER CENTER 691 PRB
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City | NASHVILLE
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State | TN
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Zip | 37232-6838
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Country | US
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Telephone | 615-936-1782
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Fax |
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Provider Business Mailing Address
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Address Line | VANDERBILT INGRAM CANCER CENTER 691 PRB
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City | NASHVILLE
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State | TN
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Zip | 37232-6838
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Country | US
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Telephone | 615-936-1782
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD44949
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 44949
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | A87984
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 036153470
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License Number State | IL
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