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General NPI Number Information
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NPI Number | 1083905871
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Entity Type | Individual
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Provider Name | JOSHUA MICHAEL LEVITT MASTERS DEGREE
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Gender | Male
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Dates
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Enumeration Date | 04/27/2011
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Last Update Date | 04/27/2011
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Provider Practice Location Address
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Address Line | 66 BOERUM PL
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City | BROOKLYN
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State | NY
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Zip | 11201-5705
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Country | US
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Telephone | 718-422-2291
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Fax |
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Provider Business Mailing Address
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Address Line | 1034 73RD ST
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City | BROOKLYN
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State | NY
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Zip | 11228-1916
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Country | US
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Telephone | 718-344-6897
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | P77196
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License Number State | NY
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