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General NPI Number Information
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NPI Number | 1063857886
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Entity Type | Individual
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Provider Name | JUDITH E LEVINRAD CM, CPM, LM
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Gender | Female
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Dates
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Enumeration Date | 05/07/2013
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 17 MEADOW LN
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City | ACCORD
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State | NY
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Zip | 12404-5615
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Country | US
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Telephone | 917-345-4257
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Fax |
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Provider Business Mailing Address
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Address Line | 316 ROKEBY RD
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City | RED HOOK
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State | NY
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Zip | 12571-1912
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Country | US
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Telephone | 917-345-4257
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 25MW00001800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 002306
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License Number State | NY
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