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General NPI Number Information
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NPI Number | 1417252099
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Entity Type | Organization
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Legal Business Name | ROBERT W. LEVIN MD PA
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Dates
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Enumeration Date | 01/13/2011
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Last Update Date | 01/13/2011
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Provider Practice Location Address
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Address Line | 646 VIRGINIA ST FOURTH FLOOR
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City | DUNEDIN
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State | FL
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Zip | 34698-6612
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Country | US
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Telephone | 727-734-6631
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Fax | 727-736-0548
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Provider Business Mailing Address
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Address Line | 646 VIRGINIA ST FOURTH FLOOR
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City | DUNEDIN
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State | FL
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Zip | 34698-6612
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Country | US
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Telephone | 727-734-6631
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Fax | 727-736-0548
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT W. LEVIN
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Credential | M.D.
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Telephone | 724-734-6631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number | ME 55316
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License Number State | FL
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