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General NPI Number Information
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NPI Number | 1396414959
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Entity Type | Individual
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Provider Name | JULIA LEVIN AMFT
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Gender | Female
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Dates
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Enumeration Date | 09/08/2021
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Last Update Date | 09/08/2021
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Provider Practice Location Address
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Address Line | 321 N LARCHMONT BLVD STE 622
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City | LOS ANGELES
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State | CA
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Zip | 90004-6406
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Country | US
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Telephone | 657-233-0798
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Fax |
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Provider Business Mailing Address
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Address Line | 581 SANTA MONICA BLVD PO BOX 188
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069
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Country | US
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Telephone | 657-233-0798
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | AMFT123886
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License Number State | CA
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