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General NPI Number Information
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NPI Number | 1134036163
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Entity Type | Individual
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Provider Name | SAMANTHA LEVITAN
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Gender | Female
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 25345 TAFT RD
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City | NOVI
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State | MI
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Zip | 48374-2423
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Country | US
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Telephone | 248-449-1234
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Fax |
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Provider Business Mailing Address
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Address Line | 340 E TROY ST
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City | FERNDALE
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State | MI
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Zip | 48220-2968
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Country | US
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Telephone | 248-890-7266
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 26130150545
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License Number State | MI
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