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General NPI Number Information
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NPI Number | 1952438780
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Entity Type | Organization
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Legal Business Name | FARREL F LEVASSEUR PC
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 07/23/2009
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Provider Practice Location Address
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Address Line | 916 WASHINGTON AVE SUITE 204
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City | BAY CITY
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State | MI
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Zip | 48708-5730
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Country | US
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Telephone | 989-893-3579
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Fax |
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Provider Business Mailing Address
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Address Line | 916 WASHINGTON AVE SUITE 204
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City | BAY CITY
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State | MI
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Zip | 48708-5730
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Country | US
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Telephone | 989-893-3579
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FARREL FRANCIS LEVASSEUR
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Credential |
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Telephone | 989-893-3579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | FL007097
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License Number State | MI
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