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General NPI Number Information
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NPI Number | 1588844013
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Entity Type | Individual
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Provider Name | ROY CLIFFORD LEVITT M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 08/26/2016
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Provider Practice Location Address
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Address Line | 1011 NW 15TH ST ROOM 416 GAUTIER BUILDING
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City | MIAMI
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State | FL
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Zip | 33136-1019
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Country | US
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Telephone | 305-297-8339
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Fax |
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Provider Business Mailing Address
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Address Line | 6223 PARADISE POINT DR
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City | VILLAGE OF PALMETTO BAY
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State | FL
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Zip | 33157-2616
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Country | US
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Telephone | 305-234-0059
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | D0024030
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D0024030
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME113459
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License Number State | FL
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