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General NPI Number Information
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NPI Number | 1932274321
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Entity Type | Individual
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Provider Name | MICHELE JANICE COLEEN LEVINE MA, LMHC, CMHS
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Gender | Female
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1370 STEWART ST
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City | SEATTLE
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State | WA
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Zip | 98109-5424
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Country | US
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Telephone | 206-604-6620
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Fax | 206-628-0839
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Provider Business Mailing Address
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Address Line | 1370 STEWART ST
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City | SEATTLE
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State | WA
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Zip | 98109-5424
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Country | US
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Telephone | 206-604-6620
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Fax | 206-628-0839
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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 | LH00007256
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License Number State | WA
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