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General NPI Number Information
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NPI Number | 1477944486
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Entity Type | Organization
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Legal Business Name | SANFORD L. LEVIN, M.D., P.A.
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Dates
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Enumeration Date | 02/12/2015
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Last Update Date | 02/12/2015
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Provider Practice Location Address
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Address Line | 12485 SW 137TH AVE SUITE #111
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City | MIAMI
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State | FL
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Zip | 33186-4216
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Country | US
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Telephone | 305-385-8344
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Fax |
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Provider Business Mailing Address
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Address Line | 12485 SW 137TH AVE SUITE #111
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City | MIAMI
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State | FL
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Zip | 33186-4216
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Country | US
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Telephone | 305-385-8344
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. SANFORD LESLIE LEVIN
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Credential | M.D., P.A.
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Telephone | 305-385-8344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | 20176
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License Number State | FL
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