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General NPI Number Information
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NPI Number | 1902177173
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Entity Type | Organization
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Legal Business Name | LEVITTOWN FAMILY DENTAL ASSOCIATES, LLC
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Dates
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Enumeration Date | 01/19/2012
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Last Update Date | 01/19/2012
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Provider Practice Location Address
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Address Line | 359 INDIAN CREEK DR
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City | LEVITTOWN
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State | PA
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Zip | 19057-2712
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Country | US
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Telephone | 215-945-5588
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Fax | 215-945-1308
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Provider Business Mailing Address
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Address Line | 359 INDIAN CREEK DR
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City | LEVITTOWN
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State | PA
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Zip | 19057-2712
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Country | US
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Telephone | 215-945-5588
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Fax | 215-945-1308
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. ERIC ABRAMS
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Credential | DMD
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Telephone | 215-945-5588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DS036382
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License Number State | PA
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