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General NPI Number Information
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NPI Number | 1386018372
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Entity Type | Organization
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Legal Business Name | DANIEL LEVY, D.D.S.,M.S.
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Dates
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Enumeration Date | 11/14/2015
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Last Update Date | 11/14/2015
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Provider Practice Location Address
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Address Line | 10004 IRON GATE RD
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City | POTOMAC
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State | MD
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Zip | 20854-4726
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Country | US
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Telephone | 301-785-1307
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Fax |
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Provider Business Mailing Address
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Address Line | 10004 IRON GATE RD
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City | POTOMAC
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State | MD
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Zip | 20854-4726
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETER
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Name | DR. DANIEL LEVY
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Credential | D.D.S.
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Telephone | 301-785-1307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 3700
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License Number State | MD
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