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General NPI Number Information
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NPI Number | 1336244185
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Entity Type | Individual
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Provider Name | SHIRLEY LEVY PHD
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Gender | Female
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2335 SOUTH MOUNTAIN AVE
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City | DURATE
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State | CA
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Zip | 91010
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Country | US
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Telephone | 626-357-3207
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Fax | 626-301-9590
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Provider Business Mailing Address
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Address Line | 13263 VENTURA BLVD #2
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City | STUDIO CITY
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State | CA
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Zip | 91604-1839
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Country | US
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Telephone | 818-501-6090
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Fax | 818-501-6095
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PX009285
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License Number State | CA
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