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General NPI Number Information
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NPI Number | 1548257058
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Entity Type | Individual
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Provider Name | DAVID M SHEVITZ MD
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Gender | Male
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Dates
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Enumeration Date | 09/29/2005
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Last Update Date | 03/16/2012
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Provider Practice Location Address
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Address Line | 5550 GLADES RD SUITE 210
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City | BOCA RATON
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State | FL
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Zip | 33431-7205
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Country | US
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Telephone | 561-750-2130
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Fax | 561-367-6170
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Provider Business Mailing Address
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Address Line | 1901 BUTTERFIELD RD SUITE 220
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-7915
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Country | US
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Telephone | 630-725-2768
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Fax | 630-725-2783
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | ME74461
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 42176
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2007-00905
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number | ME74461
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License Number State | NC
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