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General NPI Number Information
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NPI Number | 1124202601
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Entity Type | Organization
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Legal Business Name | CRITICAL CARE EMERGENCY MEDICINE, P.A.
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Dates
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Enumeration Date | 12/20/2007
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Last Update Date | 11/09/2012
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Provider Practice Location Address
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Address Line | 2617 LINCOLN AVE
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City | MIAMI
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State | FL
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Zip | 33133-4622
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Country | US
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Telephone | 713-248-9977
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Fax |
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Provider Business Mailing Address
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Address Line | 2617 LINCOLN AVE
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City | MIAMI
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State | FL
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Zip | 33133-4622
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Country | US
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Telephone | 713-248-9977
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | ROBERT LEVINE
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Credential | M.D.
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Telephone | 713-248-9977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | H3101
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License Number State | TX
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