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General NPI Number Information
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NPI Number | 1841174059
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Entity Type | Individual
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Provider Name | MAXWELL LEVY
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Gender | Male
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 586 PRESIDENT ST
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City | BROOKLYN
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State | NY
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Zip | 11215-2034
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Country | US
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Telephone | 929-460-9971
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Fax |
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Provider Business Mailing Address
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Address Line | 210 PENBROOKE DR
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City | PENFIELD
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State | NY
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Zip | 14526-2019
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Country | US
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Telephone | 585-721-8965
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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