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NPI 1225843568

NPI 1225843568 : LAWRENCE LEVIN : DUBLIN, CA

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General NPI Number Information
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    NPI Number           |    1225843568
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    Entity Type          |    Individual 
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    Provider Name        |    LAWRENCE LEVIN
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/12/2025
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    Last Update Date     |    02/12/2025
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Provider Practice Location Address
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    Address Line         |    3600 CENTRAL PKWY 
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    City                 |    DUBLIN
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    State                |    CA
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    Zip                  |    94568-7558
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    Country              |    US
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    Telephone            |    925-551-4040
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2215 SAN JOSE AVE APT A 
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    City                 |    ALAMEDA
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    State                |    CA
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    Zip                  |    94501-4954
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    Country              |    US
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    Telephone            |    510-759-5019
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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        |    101YS0200X
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    Taxonomy Name        |    School Counselor
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    License Number       |    
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    License Number State |    CA
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