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Individual
LESLIE LEVINE
Active
Individual
LESLIE LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 64720
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005525148
AETNA
FL
01
—
27972
BLUE CROSS BLUE SHIELD FLA
FL
01
—
WDQ97
EMPIRE BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/06/2006
Last updated
05/16/2008
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