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General NPI Number Information
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NPI Number | 1508670910
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Entity Type | Organization
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Legal Business Name | BRUCE J LEVINE DPM PA
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 8215 STATE ROAD 54 STE 2
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City | NEW PORT RICHEY
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State | FL
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Zip | 34655-3016
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Country | US
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Telephone | 727-376-6060
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 825159
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City | PHILADELPHIA
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State | PA
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Zip | 19182-5159
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DPM
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Name | BRUCE LEVINE
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Credential |
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Telephone | 727-797-5008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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