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General NPI Number Information
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NPI Number | 1992805436
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Entity Type | Organization
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Legal Business Name | RANDY L. LEVINE, M.D., P.C.
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Dates
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Enumeration Date | 09/24/2006
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Last Update Date | 10/27/2020
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Provider Practice Location Address
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Address Line | 920 PARK AVE
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City | NEW YORK
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State | NY
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Zip | 10028-0208
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Country | US
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Telephone | 212-717-1020
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Fax | 212-717-0972
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Provider Business Mailing Address
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Address Line | 920 PARK AVE
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City | NEW YORK
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State | NY
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Zip | 10028-0208
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Country | US
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Telephone | 212-717-1020
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Fax | 212-717-0972
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. RANDY L. LEVINE
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Credential | M.D.
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Telephone | 212-717-1020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | 145824
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License Number State | NY
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