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General NPI Number Information
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NPI Number | 1194077412
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Entity Type | Organization
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Legal Business Name | LKV DENTAL SLEEP MEDICINE LLC
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Dates
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Enumeration Date | 10/10/2012
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 1528 WALNUT ST STE 1800
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City | PHILADELPHIA
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State | PA
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Zip | 19102-3612
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Country | US
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Telephone | 215-772-3100
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Fax | 215-563-1707
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Provider Business Mailing Address
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Address Line | 1528 WALNUT ST STE 1800
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City | PHILADELPHIA
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State | PA
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Zip | 19102-3612
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Country | US
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Telephone | 215-772-3100
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Fax | 215-563-1707
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARC LEVIN
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Credential | DMD
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Telephone | 215-772-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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