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General NPI Number Information
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NPI Number | 1902138068
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Entity Type | Individual
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Provider Name | WARREN ADAM LEVY L.C.S.W.
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Gender | Male
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Dates
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Enumeration Date | 02/01/2010
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Last Update Date | 04/04/2018
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Provider Practice Location Address
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Address Line | 3939 W RIDGE RD STE B11
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City | ERIE
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State | PA
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Zip | 16506-1899
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Country | US
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Telephone | 814-969-0366
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Fax | 888-971-3973
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Provider Business Mailing Address
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Address Line | 3939 W RIDGE RD STE B11
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City | ERIE
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State | PA
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Zip | 16506-1899
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Country | US
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Telephone | 814-969-0366
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW016531
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License Number State | PA
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