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General NPI Number Information
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NPI Number | 1972471845
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Entity Type | Individual
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Provider Name | TAYLOR LEVINE PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 3619 PARK EAST DR STE 109
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City | BEACHWOOD
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State | OH
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Zip | 44122-4312
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Country | US
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Telephone | 216-464-6445
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Fax |
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Provider Business Mailing Address
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Address Line | 287 MAYBERRY ST
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City | HENDERSON
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State | NV
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Zip | 89052-2310
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Country | US
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Telephone |
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | P.08870
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License Number State | OH
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