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General NPI Number Information
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NPI Number | 1326457706
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Entity Type | Organization
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Legal Business Name | MARK LEVINSKY LMHC LLC
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Dates
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Enumeration Date | 08/11/2014
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Last Update Date | 08/11/2014
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Provider Practice Location Address
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Address Line | 7301 W PALMETTO PARK RD STE 104B
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City | BOCA RATON
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State | FL
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Zip | 33433-3455
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Country | US
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Telephone | 561-368-9940
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Fax |
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Provider Business Mailing Address
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Address Line | 7301 W PALMETTO PARK RD STE 104B
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City | BOCA RATON
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State | FL
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Zip | 33433-3455
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Country | US
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Telephone | 561-368-9940
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. MARK LEVINSKY
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Credential | MS
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Telephone | 561-368-9940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MH6755
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License Number State | FL
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