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Individual
LEONARD S LEVINE
Active
Individual
LEONARD S LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
0101016603
VA
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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