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General NPI Number Information
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NPI Number | 1497901557
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Entity Type | Individual
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Provider Name | RACHEL LEAH LEVAN MSW,LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/08/2008
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Last Update Date | 10/14/2015
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Provider Practice Location Address
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Address Line | 203 S JEFFERSON ST SUITE D
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City | LEWISBURG
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State | WV
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Zip | 24901-1316
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Country | US
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Telephone | 304-667-7410
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 103 155 FOURTH ST
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City | RENICK
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State | WV
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Zip | 24966-0103
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Country | US
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Telephone | 304-667-7410
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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 | AP00942926
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License Number State | WV
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