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General NPI Number Information
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NPI Number | 1235192543
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Entity Type | Individual
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Provider Name | LEV D KANDINOV MD
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Gender | Male
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Dates
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Enumeration Date | 04/08/2006
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Last Update Date | 07/02/2015
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Provider Practice Location Address
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Address Line | 2627 NE 203RD ST SUITE 115
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City | AVENTURA
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State | FL
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Zip | 33180-1900
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Country | US
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Telephone | 305-931-8844
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Fax |
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Provider Business Mailing Address
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Address Line | 2627 NE 203RD ST SUITE 115
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City | AVENTURA
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State | FL
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Zip | 33180-1900
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Country | US
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Telephone | 305-931-8844
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 234811
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 25MA07862100
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME115451
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License Number State | FL
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