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General NPI Number Information
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NPI Number | 1790831048
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Entity Type | Organization
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Legal Business Name | RAY L. LEVY, PH.D., P.C. & ASSOCIATES
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 17480 DALLAS PKWY SUITE 230
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City | DALLAS
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State | TX
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Zip | 75287-7337
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Country | US
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Telephone | 972-407-1191
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Fax | 972-407-1305
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Provider Business Mailing Address
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Address Line | 17480 DALLAS PKWY SUITE 230
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City | DALLAS
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State | TX
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Zip | 75287-7337
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Country | US
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Telephone | 972-407-1191
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Fax | 972-407-1305
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAY L LEVY
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Credential | PH.D.
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Telephone | 972-407-1191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 23782
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License Number State | TX
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