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NPI Code Detail

MEDICARE: AARON LEVIN CNIM

MEDICARE: AARON LEVIN CNIM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246ZE0600XElectroneurodiagnostic Specialist/Technologist

General Provider Information

NPI Number : 1134438658
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON LEVIN CNIM
Provider Business Mailing Address
First Line : 3290 NORTHSIDE PKWY NW
Second Line : SUITE 300
City : ATLANTA
State : GA
Zip : 30327-2273
Country : US
Telephone Number : 404-201-6013
Fax Number :
Provider Business Practice Location Address
First Line : 3290 NORTHSIDE PKWY NW
Second Line : SUITE 300
City : ATLANTA
State : GA
Zip : 30327-2273
Country : US
Telephone Number : 404-201-6013
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2010
Last Update Date : 09/30/2010

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