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General NPI Number Information
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NPI Number | 1962605329
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Entity Type | Organization
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Legal Business Name | DENISE P LEVINE LCSW PC
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 08/16/2013
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Provider Practice Location Address
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Address Line | 2340 ROYCE ST
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City | BROOKLYN
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State | NY
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Zip | 11234-6616
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Country | US
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Telephone | 718-375-2778
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Fax | 718-376-0512
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Provider Business Mailing Address
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Address Line | 2340 ROYCE ST
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City | BROOKLYN
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State | NY
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Zip | 11234-6616
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Country | US
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Telephone | 718-375-2778
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Fax | 718-376-0512
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. DENISE P LEVINE
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Credential | LCSW
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Telephone | 718-375-2778
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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 | R038799
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License Number State | NY
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