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General NPI Number Information
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NPI Number | 1124106158
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Entity Type | Individual
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Provider Name | ADRIENNE LEVY MFC44975
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 11/02/2011
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Provider Practice Location Address
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Address Line | 2551 STATE ST SUITE 226
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City | CARLSBAD
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State | CA
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Zip | 92008-1683
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Country | US
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Telephone | 760-720-5320
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Fax | 760-434-6673
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Provider Business Mailing Address
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Address Line | 2551 STATE ST SUITE 226
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City | CARLSBAD
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State | CA
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Zip | 92008-1683
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Country | US
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Telephone | 760-720-5320
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Fax | 760-434-6673
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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