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General NPI Number Information
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NPI Number | 1568689784
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Entity Type | Individual
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Provider Name | ALAN JEFFERY LEVIN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6825 E TENNESSEE AVE STE. 621
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City | DENVER
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State | CO
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Zip | 80224-1628
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Country | US
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Telephone | 303-333-2221
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Fax | 303-377-4876
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Provider Business Mailing Address
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Address Line | 10182 STONERIDGE TER
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City | PARKER
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State | CO
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Zip | 80134-9505
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Country | US
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Telephone | 303-840-2688
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Fax | 720-851-6607
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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 | 00244
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License Number State | CO
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