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General NPI Number Information
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NPI Number | 1720828973
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Entity Type | Individual
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Provider Name | COURTNEY MARIE LEVASSEUR OTD, OTR
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Gender | Female
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Dates
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Enumeration Date | 05/27/2024
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Last Update Date | 05/27/2024
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Provider Practice Location Address
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Address Line | 1825 FORTVIEW RD STE 103
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City | AUSTIN
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State | TX
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Zip | 78704-7654
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Country | US
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Telephone | 512-444-4263
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Fax |
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Provider Business Mailing Address
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Address Line | 6607 BRODIE LN APT 1034
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City | AUSTIN
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State | TX
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Zip | 78745-4654
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Country | US
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Telephone | 804-908-4107
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 123533
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License Number State | TX
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