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General NPI Number Information
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NPI Number | 1891053500
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Entity Type | Individual
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Provider Name | DR. KAREN LEVINE
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Gender | Female
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Dates
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Enumeration Date | 05/01/2012
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Last Update Date | 05/01/2012
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Provider Practice Location Address
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Address Line | 93 BRIDGE PLAZA DR
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City | MANALAPAN
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State | NJ
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Zip | 07726-1700
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Country | US
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Telephone | 732-972-9950
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Fax | 732-972-9952
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Provider Business Mailing Address
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Address Line | 93 BRIDGE PLAZA DR
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City | MANALAPAN
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State | NJ
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Zip | 07726-1700
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Country | US
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Telephone | 732-972-9950
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Fax | 732-972-9952
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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 | BI02498600
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License Number State | NJ
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