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General NPI Number Information
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NPI Number | 1548337488
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Entity Type | Individual
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Provider Name | SHELDON RAPHAEL LEVIN MD
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Gender | Male
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 04/14/2021
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Provider Practice Location Address
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Address Line | 601 N FLAMINGO ROAD 315
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City | PEMBROKE PINES
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State | FL
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Zip | 33028
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Country | US
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Telephone | 954-436-2100
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Fax | 954-433-9919
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Provider Business Mailing Address
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Address Line | 601 N FLAMINGO ROAD 315
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City | PEMBROKE PINES
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State | FL
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Zip | 33028
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Country | US
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Telephone | 954-436-2100
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Fax | 954-433-9919
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 062855
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License Number State | FL
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