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General NPI Number Information
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NPI Number | 1770899247
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Entity Type | Organization
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Legal Business Name | LEFCOE, WEINSTEIN, SACHS, SCHIFF & ASSOCIATES
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Dates
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Enumeration Date | 08/23/2010
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Last Update Date | 08/23/2010
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Provider Practice Location Address
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Address Line | 210 MEADOW VIEW BOULEVARD
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City | SUFFOLK
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State | VA
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Zip | 23435
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Country | US
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Telephone | 757-410-0180
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Fax |
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Provider Business Mailing Address
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Address Line | 210 MEADOW VIEW BOULEVARD
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City | SUFFOLK
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State | VA
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Zip | 23435
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Country | US
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Telephone | 757-410-0180
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Fax |
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MRS. ROBIN GREENE
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Credential |
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Telephone | 757-962-6769
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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 | 0401004149
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License Number State | VA
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