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General NPI Number Information
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NPI Number | 1962409953
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Entity Type | Individual
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Provider Name | DANIEL JOHN LEBOWITZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2005
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Last Update Date | 02/15/2025
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Provider Practice Location Address
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Address Line | 1900 GLADES RD STE 100
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City | BOCA RATON
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State | FL
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Zip | 33431-7333
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Country | US
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Telephone | 800-991-6117
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Fax | 888-812-8191
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Provider Business Mailing Address
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Address Line | 3820 NORTHDALE BLVD STE 201
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City | TAMPA
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State | FL
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Zip | 33624-1893
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Country | US
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Telephone | 813-867-0606
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Fax | 813-434-2023
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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 | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number | ME162079
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD430274
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 214170
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 25MA08301000
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | ME162079
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License Number State | FL
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