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General NPI Number Information
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NPI Number | 1396109492
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Entity Type | Individual
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Provider Name | ALYSSA GABRIELLE LEVINTOV D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 04/05/2016
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Last Update Date | 04/26/2022
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Provider Practice Location Address
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Address Line | 100 CANDLEWOOD CMNS
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City | HOWELL
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State | NJ
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Zip | 07731-2168
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Country | US
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Telephone | 732-364-0400
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Fax |
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Provider Business Mailing Address
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Address Line | 12 WHITNEY DR
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City | MARLBORO
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State | NJ
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Zip | 07746-1242
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Country | US
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Telephone | 718-208-6120
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30.024989
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License Number State | OH
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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 | 22DI02717500
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License Number State | NJ
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