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General NPI Number Information
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NPI Number | 1689812687
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Entity Type | Organization
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Legal Business Name | ALAN LITVINOV DDS
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Dates
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Enumeration Date | 01/28/2009
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Last Update Date | 01/28/2009
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Provider Practice Location Address
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Address Line | 1740 CULVER RD
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City | ROCHESTER
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State | NY
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Zip | 14609-3836
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Country | US
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Telephone | 585-200-4831
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Fax |
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Provider Business Mailing Address
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Address Line | 126 JACKSON ROAD EXT
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City | PENFIELD
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State | NY
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Zip | 14526-1265
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Country | US
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Telephone | 585-377-1487
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. ALAN LITVINOV
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Credential | DDS
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Telephone | 585-377-1487
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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 | 050659
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License Number State | NY
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