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General NPI Number Information
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NPI Number | 1023103751
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Entity Type | Organization
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Legal Business Name | GUY G. LEVY, D.D.S. AND MAYER G. LEVY, D.D.S., P.C.
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 367 DENBIGH BLVD
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-3732
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Country | US
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Telephone | 757-877-9281
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Fax | 757-874-2730
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Provider Business Mailing Address
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Address Line | 367 DENBIGH BLVD
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-3732
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Country | US
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Telephone | 757-877-9281
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Fax | 757-874-2730
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Authorized Official
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Title or Position | DENTIST
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Name | DR. GUY GLICKSON LEVY
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Credential | D.D.S.
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Telephone | 757-877-9281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 0401006910
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License Number State | VA
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