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General NPI Number Information
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NPI Number | 1437549243
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Entity Type | Organization
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Legal Business Name | ELI S. LEVINE, MD, PA
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Dates
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Enumeration Date | 02/01/2015
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Last Update Date | 05/09/2015
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Provider Practice Location Address
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Address Line | 951 NW 13TH ST SUITE 4B
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City | BOCA RATON
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State | FL
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Zip | 33486-2359
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Country | US
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Telephone | 561-235-5621
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Fax | 561-235-5495
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Provider Business Mailing Address
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Address Line | 951 NW 13TH ST SUITE 4B
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City | BOCA RATON
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State | FL
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Zip | 33486-2359
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Country | US
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Telephone | 561-235-5621
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Fax | 561-235-5495
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ELI S LEVINE
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Credential | MD
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Telephone | 561-235-5621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME121908
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME121908
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | ME121908
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License Number State | FL
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