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General NPI Number Information
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NPI Number | 1962714873
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Entity Type | Organization
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Legal Business Name | DRS. LEFCOE, WEINSTEIN, SACHS, SCHIFF AND ASSOCIATES
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Dates
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Enumeration Date | 07/08/2010
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Last Update Date | 07/08/2010
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Provider Practice Location Address
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Address Line | 302 E LITTLE CREEK RD B
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City | NORFOLK
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State | VA
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Zip | 23505-2603
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Country | US
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Telephone | 757-416-7751
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Fax |
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Provider Business Mailing Address
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Address Line | 302 E LITTLE CREEK RD B
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City | NORFOLK
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State | VA
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Zip | 23505-2603
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Country | US
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Telephone | 757-416-7751
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Fax |
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MRS. ROBIN MARIE GREENE
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Credential |
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Telephone | 757-962-6769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 0401412189
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License Number State | VA
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