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General NPI Number Information
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NPI Number | 1952721169
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Entity Type | Organization
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Legal Business Name | MARK LEVY DDS INC
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Dates
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Enumeration Date | 04/27/2014
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 1335 DUBLIN RD STE 100B
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City | COLUMBUS
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State | OH
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Zip | 43215-1000
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Country | US
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Telephone | 614-777-7350
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Fax | 888-390-0424
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Provider Business Mailing Address
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Address Line | 1335 DUBLIN RD STE 100B
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City | COLUMBUS
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State | OH
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Zip | 43215-1000
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Country | US
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Telephone | 614-777-7350
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Fax | 888-390-0424
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARK L LEVY
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Credential | DDS
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Telephone | 614-777-7350
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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 | 16150
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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