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General NPI Number Information
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NPI Number | 1518210889
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Entity Type | Individual
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Provider Name | LEV AMINOV PHARM D
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Gender | Male
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Dates
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Enumeration Date | 10/23/2012
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Last Update Date | 10/23/2012
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Provider Practice Location Address
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Address Line | 346 E DANIA BEACH BLVD
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City | DANIA
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State | FL
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Zip | 33004-3020
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Country | US
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Telephone | 954-926-6410
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Fax |
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Provider Business Mailing Address
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Address Line | 1912 S OCEAN DR APT 7B
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-5955
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Country | US
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Telephone | 954-662-8896
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | PS49043
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License Number State | FL
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