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General NPI Number Information
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NPI Number | 1336675354
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Entity Type | Organization
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Legal Business Name | BERLIN AND LEVITT DENTAL PARTNERSHIP
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 1050 S GRAND AVE SUITE 2
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City | LOS ANGELES
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State | CA
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Zip | 90015-4284
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Country | US
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Telephone | 310-721-8250
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Fax |
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Provider Business Mailing Address
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Address Line | 1050 S GRAND AVE SUITE 2
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City | LOS ANGELES
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State | CA
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Zip | 90015-4284
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Country | US
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Telephone | 310-721-8250
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | JEFF STEVEN BERLIN
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Credential | DDS
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Telephone | 310-721-8250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 47350
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 55277
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License Number State | CA
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