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General NPI Number Information
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NPI Number | 1417084773
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Entity Type | Organization
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Legal Business Name | THEODORE M LEVINE, DDS, PC
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 400 PENN CENTER BLVD SUITE 111
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City | PITTSBURGH
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State | PA
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Zip | 15235-5613
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Country | US
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Telephone | 412-823-4444
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Fax | 412-823-6556
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Provider Business Mailing Address
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Address Line | 400 PENN CENTER BLVD SUITE 111
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City | PITTSBURGH
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State | PA
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Zip | 15235-5613
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Country | US
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Telephone | 412-823-4444
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Fax | 412-823-6556
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THEODORE M LEVINE
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Credential | D.D.S.
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Telephone | 412-823-4444
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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 |
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License Number State | PA
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