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NPI Code Detail

MEDICARE: LINDA LEVINE

MEDICARE: LINDA LEVINE
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
1225100000XPhysical Therapist15098MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12118118OTHERAETNA HMO
2393465OTHERMAMSI-UHC
3H481DO-61198503OTHERMDCAREFIRST BLUECROSS
45060511OTHERAETNA NON HMO
5T615-0003OTHERDCCAREFIRST BLUECHOICE

General Provider Information

NPI Number : 1629077250
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA LEVINE
Provider Business Mailing Address
First Line : 731 BALTIMORE BLVD
Second Line :
City : WESTMINSTER
State : MD
Zip : 21157-6105
Country : US
Telephone Number : 410-848-8628
Fax Number : 410-848-3909
Provider Business Practice Location Address
First Line : 505B E RIDGEVILLE BLVD
Second Line :
City : MOUNT AIRY
State : MD
Zip : 21771-5251
Country : US
Telephone Number : 301-607-9096
Fax Number : 301-607-8049
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2005
Last Update Date : 07/08/2007

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Directions to “ LINDA LEVINE ” Practice Location

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