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General NPI Number Information
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NPI Number | 1851566335
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Entity Type | Organization
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Legal Business Name | ALAN P LEVITT OD
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Dates
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Enumeration Date | 04/25/2008
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Last Update Date | 04/25/2008
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Provider Practice Location Address
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Address Line | 1031 IVES DAIRY RD #133
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City | MIAMI
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State | FL
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Zip | 33179-2538
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Country | US
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Telephone | 305-651-8832
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Fax | 305-651-0044
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Provider Business Mailing Address
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Address Line | 1031 IVES DAIRY RD #133
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City | MIAMI
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State | FL
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Zip | 33179-2538
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Country | US
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Telephone | 305-651-8832
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Fax | 305-651-0044
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | ALAN P LEVITT
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Credential | O.D.
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Telephone | 305-651-8832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | OPC1670
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License Number State | FL
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