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General NPI Number Information
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NPI Number | 1376633776
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Entity Type | Organization
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Legal Business Name | STANLEY M LEVIN, DDS. GARY SLEFF DDS & RICHARD M. POLLOCK, DMD, LTD
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Dates
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Enumeration Date | 10/14/2006
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | 311 PARK AVE
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City | FALLS CHURCH
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State | VA
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Zip | 22046
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Country | US
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Telephone | 703-534-4884
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Fax | 703-534-3447
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Provider Business Mailing Address
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Address Line | 311 PARK AVE
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City | FALLS CHURCH
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State | VA
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Zip | 22046
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Country | US
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Telephone | 703-534-4884
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Fax | 703-534-3447
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD M POLLOCK
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Credential | DMD
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Telephone | 703-534-4884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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