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General NPI Number Information
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NPI Number | 1457410979
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Entity Type | Organization
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Legal Business Name | EAST COAST MEDICAL ASSOCIATES, INC
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 04/17/2013
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Provider Practice Location Address
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Address Line | 7301 W PALMETTO PARK RD SUITE 108B
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City | BOCA RATON
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State | FL
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Zip | 33433-3458
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Country | US
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Telephone | 561-391-4441
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Fax | 561-391-4450
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Provider Business Mailing Address
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Address Line | 7301 W PALMETTO PARK RD SUITE 108B
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City | BOCA RATON
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State | FL
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Zip | 33433-3458
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Country | US
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Telephone | 561-391-4441
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Fax | 561-391-4450
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DAVID I LEVENSON
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Credential | M.D.
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Telephone | 561-394-4441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME59003
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License Number State | FL
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