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General NPI Number Information
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NPI Number | 1720669468
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Entity Type | Individual
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Provider Name | ELEXIS P LEVINE
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Gender | Female
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Dates
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Enumeration Date | 04/15/2021
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 333 W 41ST ST STE 414
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3608
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Country | US
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Telephone | 786-673-9355
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Fax |
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Provider Business Mailing Address
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Address Line | 7004 SW 40TH ST APT 460
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City | MIAMI
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State | FL
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Zip | 33155-3886
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Country | US
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Telephone | 201-663-0782
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State | FL
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