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General NPI Number Information
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NPI Number | 1114610110
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Entity Type | Individual
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Provider Name | AARON ALEXANDER LEVINSON LCSW, DSW, MBA
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Gender | Male
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Dates
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Enumeration Date | 05/26/2023
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 3867 WOLVERINE ST NE BLDG F
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City | SALEM
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State | OR
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Zip | 97305-4266
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Country | US
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Telephone | 971-428-7762
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Fax |
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Provider Business Mailing Address
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Address Line | 520 MADISON PARK DR
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City | LEXINGTON
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State | SC
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Zip | 29072-8034
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Country | US
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Telephone | 602-820-1125
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-21362
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License Number State | AZ
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