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General NPI Number Information
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NPI Number | 1134259518
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Entity Type | Individual
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Provider Name | HOWARD LEVINE D.D.S
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Gender | Male
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 127 NW 12TH AVE
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City | MIAMI
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State | FL
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Zip | 33128-1008
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Country | US
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Telephone | 305-325-1771
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Fax | 305-325-1775
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Provider Business Mailing Address
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Address Line | 12101 SW 89TH AVE
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City | MIAMI
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State | FL
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Zip | 33176-5101
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Country | US
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Telephone | 305-238-8523
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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 | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | DN3799
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License Number State | FL
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