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General NPI Number Information
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NPI Number | 1871866285
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Entity Type | Organization
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Legal Business Name | MARK DAVID LEVINE PSYCHIATRISTS PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 02/15/2012
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 2081 ARENA BLVD STE 160
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City | SACRAMENTO
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State | CA
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Zip | 95834-2309
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Country | US
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Telephone | 916-576-7898
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Fax | 916-285-0338
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Provider Business Mailing Address
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Address Line | 2081 ARENA BLVD STE 160
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City | SACRAMENTO
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State | CA
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Zip | 95834-2309
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Country | US
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Telephone | 916-576-7898
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Fax | 916-285-0338
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Authorized Official
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Title or Position | PAYOR RELATIONS SUPERVISOR
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Name | JASMINE SPAULDING
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Credential |
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Telephone | 916-567-7893
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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