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General NPI Number Information
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NPI Number | 1962522086
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Entity Type | Individual
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Provider Name | DAVID F. LEVINGSTON M.A.
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Gender | Male
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 09/04/2023
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Provider Practice Location Address
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Address Line | 229 WESTERN AVE
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City | BRATTLEBORO
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State | VT
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Zip | 05301-6589
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Country | US
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Telephone | 415-717-0918
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Fax | 802-727-4634
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Provider Business Mailing Address
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Address Line | 185 WESTERN AVE APT 101
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City | BRATTLEBORO
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State | VT
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Zip | 05301-6953
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Country | US
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Telephone | 415-717-0918
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Fax | 802-727-4634
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC 44173
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 100-0000054
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License Number State | VT
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