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General NPI Number Information
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NPI Number | 1841279296
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Entity Type | Organization
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Legal Business Name | URODOCS INC
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Dates
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Enumeration Date | 01/13/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 21355 E DIXIE HWY STE 102
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City | AVENTURA
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State | FL
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Zip | 33180-1239
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Country | US
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Telephone | 305-932-4444
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Fax | 305-932-4456
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Provider Business Mailing Address
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Address Line | PO BOX 402605
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City | MIAMI BEACH
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State | FL
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Zip | 33140
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Country | US
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Telephone | 305-932-4444
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Fax | 305-932-4456
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD D LEVIN
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Credential | MD
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Telephone | 305-932-4444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | ME0071204
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License Number State | FL
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