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General NPI Number Information
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NPI Number | 1447637004
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Entity Type | Individual
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Provider Name | LEVI B TYLEK LCSW
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Gender | Male
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Dates
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Enumeration Date | 05/04/2015
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Last Update Date | 12/10/2019
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Provider Practice Location Address
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Address Line | 277 BILTMORE AVE
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City | ASHEVILLE
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State | NC
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Zip | 28801-4157
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Country | US
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Telephone | 828-505-8327
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Fax |
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Provider Business Mailing Address
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Address Line | 57 BOULDER RIDGE RD APT 208
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City | ASHEVILLE
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State | NC
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Zip | 28806-0241
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Country | US
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Telephone | 561-248-4615
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C012019
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License Number State | NC
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