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General NPI Number Information
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NPI Number | 1861459018
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Entity Type | Individual
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Provider Name | GEORGE A LEVINE M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 8700 N KENDALL DR #102
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City | MIAMI
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State | FL
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Zip | 33176-2206
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Country | US
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Telephone | 305-279-1532
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Fax | 305-596-4677
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Provider Business Mailing Address
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Address Line | 8700 N KENDALL DR #102
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City | MIAMI
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State | FL
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Zip | 33176-2206
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Country | US
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Telephone | 305-279-1532
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Fax | 305-596-4677
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | ME12350
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License Number State | FL
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