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General NPI Number Information
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NPI Number | 1619542487
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Entity Type | Individual
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Provider Name | MADYSON LEVINSON LMHC
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Gender | Female
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Dates
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Enumeration Date | 05/24/2021
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Last Update Date | 05/24/2021
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Provider Practice Location Address
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Address Line | 1431 SW 9TH AVE
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-6220
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Country | US
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Telephone | 954-953-1659
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Fax |
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Provider Business Mailing Address
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Address Line | 2 S BISCAYNE BLVD STE 2600
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City | MIAMI
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State | FL
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Zip | 33131-1819
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Country | US
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Telephone | 561-614-5967
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | MH19200
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH19200
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MH19200
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | MH19200
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License Number State | FL
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