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General NPI Number Information
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NPI Number | 1013118009
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Entity Type | Individual
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Provider Name | ROBERT JOSEPH LEVINE M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 09/10/2014
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Provider Practice Location Address
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Address Line | 1855 NE 8TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33033-4705
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Country | US
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Telephone | 305-989-0773
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Fax |
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Provider Business Mailing Address
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Address Line | 13525 SW 115TH PL
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City | MIAMI
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State | FL
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Zip | 33176-5319
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Country | US
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Telephone | 305-989-0773
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 54607
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME 54607
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License Number State | FL
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