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Individual
ELIZABETH F LEVENDOSKI
Active
Individual
ELIZABETH F LEVENDOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005051A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000610762
ANTHEM PROVIDER NUMBER
IN
05
—
200979880
—
IN
Enumeration date
02/27/2009
Last updated
10/08/2010
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