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General NPI Number Information
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NPI Number | 1972817385
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Entity Type | Organization
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Legal Business Name | GEORGE A. LEVINE, M.D.,P.A.
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Dates
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Enumeration Date | 07/28/2010
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Last Update Date | 07/28/2010
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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 | PHYSICIAN
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Name | DR. GEORGE A LEVINE
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Credential | M.D.
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Telephone | 305-279-1532
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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 |
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License Number State |
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