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General NPI Number Information
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NPI Number | 1134109325
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Entity Type | Individual
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Provider Name | LARRY P LEVIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 10/01/2007
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Provider Practice Location Address
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Address Line | 1601 CLINT MOORE RD STE. 125
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City | BOCA RATON
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State | FL
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Zip | 33487-2768
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Country | US
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Telephone | 561-939-0800
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Fax | 561-939-0820
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Provider Business Mailing Address
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Address Line | 673 LAKEWOODE CIR W
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City | DELRAY BEACH
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State | FL
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Zip | 33445-4315
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Country | US
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Telephone | 561-865-0331
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | FLME0048220
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License Number State | FL
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