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General NPI Number Information
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NPI Number | 1851407902
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Entity Type | Individual
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Provider Name | EDWARD STUART LEVEY DMD
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Gender | Male
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 849 KEARNY AVE
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City | KEARNY
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State | NJ
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Zip | 07032-3209
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Country | US
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Telephone | 201-991-4888
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Fax | 201-991-4888
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Provider Business Mailing Address
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Address Line | 17 WOODLAND AVE
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City | NORTH CALDWELL
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State | NJ
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Zip | 07006-4311
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Country | US
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Telephone | 973-618-0573
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 22D100967000
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License Number State | NJ
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