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General NPI Number Information
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NPI Number | 1659987402
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Entity Type | Individual
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Provider Name | JEFFREY LAWRENCE LEVINE DDS
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Gender | Male
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Dates
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Enumeration Date | 09/17/2020
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Last Update Date | 01/01/2026
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Provider Practice Location Address
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Address Line | 2024 W HENRIETTA RD STE 5J
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City | ROCHESTER
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State | NY
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Zip | 14623-1360
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Country | US
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Telephone | 585-292-1270
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Fax |
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Provider Business Mailing Address
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Address Line | 58 INDIANA ST
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City | ROCHESTER
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State | NY
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Zip | 14609-7437
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Country | US
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Telephone | 585-478-8227
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 061410
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License Number State | NY
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