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General NPI Number Information
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NPI Number | 1194432344
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Entity Type | Individual
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Provider Name | ALEX LEVIN M.S. PSYCHOLOGY
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Gender | Male
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Dates
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Enumeration Date | 10/27/2022
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 520 HOPE ST
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City | PROVIDENCE
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State | RI
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Zip | 02906-2599
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Country | US
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Telephone | 401-276-4155
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Fax | 401-276-4571
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Provider Business Mailing Address
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Address Line | 419 ALBION RD UNIT 15
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City | LINCOLN
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State | RI
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Zip | 02865-4276
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Country | US
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Telephone | 401-323-5100
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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 |
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License Number State |
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