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General NPI Number Information
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NPI Number | 1790002699
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Entity Type | Individual
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Provider Name | BLANCHE LEVERE PH.D, LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/01/2010
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Last Update Date | 08/02/2016
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Provider Practice Location Address
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Address Line | 320 W STATE ST SUITE #2
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City | TRENTON
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State | NJ
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Zip | 08618-5704
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Country | US
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Telephone | 609-394-0401
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Fax | 609-394-0045
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Provider Business Mailing Address
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Address Line | PO BOX 2972
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City | PRINCETON
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State | NJ
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Zip | 08543-2972
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Country | US
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Telephone | 609-394-0401
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Fax | 609-394-0045
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT000109
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | LCPC064-3684
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License Number State | NJ
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