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General NPI Number Information
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NPI Number | 1992786206
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Entity Type | Individual
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Provider Name | JANET A. LEVENSON PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 11/14/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 722 ROUTE 3A SUITE 16
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City | BOW
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State | NH
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Zip | 03304-4010
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Country | US
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Telephone | 603-230-9444
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Fax | 603-228-9990
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Provider Business Mailing Address
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Address Line | 488 E DUNBARTON RD
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City | GOFFSTOWN
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State | NH
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Zip | 03045-2817
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Country | US
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Telephone | 603-497-3268
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 757
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License Number State | NH
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