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General NPI Number Information
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NPI Number | 1528408291
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Entity Type | Individual
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Provider Name | STEPHEN PHILIP LEVY N.D., L.AC., L.M.T.
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Gender | Male
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Dates
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Enumeration Date | 06/26/2013
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Last Update Date | 05/06/2024
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Provider Practice Location Address
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Address Line | 1016 SE 12TH AVE
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City | PORTLAND
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State | OR
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Zip | 97214-2513
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Country | US
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Telephone | 503-831-8116
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Fax | 503-410-7116
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Provider Business Mailing Address
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Address Line | 16785 SW ANNIE LN
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City | ALOHA
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State | OR
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Zip | 97078-2505
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Country | US
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Telephone | 503-720-7418
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Fax | 503-410-7116
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC157837
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 1893
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License Number State | OR
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