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General NPI Number Information
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NPI Number | 1669904181
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Entity Type | Organization
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Legal Business Name | LEVIN COUNSELING SERVICES
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Dates
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Enumeration Date | 04/03/2017
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Last Update Date | 04/03/2017
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Provider Practice Location Address
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Address Line | 6805 MAURLEEN RD
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City | BALTIMORE
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State | MD
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Zip | 21209-1422
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Country | US
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Telephone | 443-929-1570
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Fax |
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Provider Business Mailing Address
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Address Line | 6805 MAURLEEN RD
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City | BALTIMORE
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State | MD
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Zip | 21209-1422
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Country | US
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Telephone | 443-929-1570
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Fax |
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Authorized Official
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Title or Position | CLINICAL THERAPIST
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Name | JOSEPH LEVIN
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Credential | LCSW-C
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Telephone | 443-929-1570
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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 | 15192
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License Number State | MD
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