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General NPI Number Information
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NPI Number | 1497790893
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Entity Type | Organization
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Legal Business Name | DAVID G. LEBOWITZ D.M.D., P.C.
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10555 N TATUM BLVD A104
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-1096
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Country | US
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Telephone | 480-998-7775
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Fax |
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Provider Business Mailing Address
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Address Line | 10555 N TATUM BLVD A104
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-1096
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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 | PRESIDENT
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Name | DR. DAVID G. LEBOWITZ
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Credential | D.M.D.
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Telephone | 480-998-7775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 2517
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License Number State | AZ
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