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General NPI Number Information
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NPI Number | 1700923240
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Entity Type | Individual
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Provider Name | STEPHANIE ANN LEVY LMHP
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Gender | Female
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 1710 N 144TH ST STE 2
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City | OMAHA
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State | NE
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Zip | 68154-4715
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Country | US
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Telephone | 402-403-9890
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Fax |
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Provider Business Mailing Address
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Address Line | 338 N ALLEN ST
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City | BENNINGTON
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State | NE
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Zip | 68007-5050
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Country | US
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Telephone | 402-709-2213
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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 | 15964
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 3136
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License Number State | NE
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