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General NPI Number Information
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NPI Number | 1962937680
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Entity Type | Organization
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Legal Business Name | STEVEN M LEVY DMD
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Dates
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Enumeration Date | 05/01/2017
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Last Update Date | 05/01/2017
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Provider Practice Location Address
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Address Line | 2565 BEVERLY RD
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City | MERRICK
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State | NY
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Zip | 11566-4400
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Country | US
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Telephone | 516-378-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 2565 BEVERLY RD
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City | MERRICK
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State | NY
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Zip | 11566-4400
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Country | US
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Telephone | 516-378-8600
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STEVEN M LEVY
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Credential | D.M.D.
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Telephone | 516-378-8600
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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 | 33963
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License Number State | NY
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