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General NPI Number Information
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NPI Number | 1558354399
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Entity Type | Individual
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Provider Name | RONALD L. LEVINE M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/26/2005
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Last Update Date | 05/06/2013
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Provider Practice Location Address
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Address Line | 680 2ND AVE N SUITE 304
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City | NAPLES
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State | FL
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Zip | 34102-5753
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Country | US
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Telephone | 239-206-2833
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Fax | 239-206-2835
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Provider Business Mailing Address
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Address Line | 2200 FORREST LN
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City | NAPLES
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State | FL
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Zip | 34102-7621
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Country | US
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Telephone | 239-249-1428
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Fax | 239-384-9324
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | ME72991
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License Number State | FL
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