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General NPI Number Information
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NPI Number | 1700997988
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Entity Type | Individual
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Provider Name | RICHARD G LEVINE MD, FAAD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 7560 RED BUG LAKE RD STE 1014
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City | OVIEDO
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State | FL
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Zip | 32765-6591
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Country | US
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Telephone | 407-706-1770
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Fax |
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Provider Business Mailing Address
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Address Line | 6140 ATLANTIC AVE
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City | DELRAY BEACH
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State | FL
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Zip | 33484-8409
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Country | US
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Telephone | 561-498-4407
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Fax | 561-498-4480
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | ME147002
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | ME147002
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License Number State | FL
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