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General NPI Number Information
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NPI Number | 1598213753
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Entity Type | Organization
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Legal Business Name | LEVINS PHYSIOTHERAPY
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Dates
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Enumeration Date | 09/16/2016
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Last Update Date | 09/16/2016
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Provider Practice Location Address
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Address Line | 3854 AMERICAN WAY
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City | BATON ROUGE
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State | LA
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Zip | 70816-4013
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Country | US
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Telephone | 225-773-0943
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Fax |
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Provider Business Mailing Address
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Address Line | 15029 HIGHLAND RD
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City | BATON ROUGE
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State | LA
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Zip | 70810-5524
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. STEPHEN MATTHEW LEVINS
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Credential | PT, OCS, FAAOMPT
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Telephone | 225-773-0943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 02644F
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License Number State | LA
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