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General NPI Number Information
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NPI Number | 1003604745
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Entity Type | Individual
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Provider Name | ALEXIS Y LEWIS
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Gender | Female
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 101 PARK AVE STE 1300
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City | OKLAHOMA CITY
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State | OK
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Zip | 73102-7216
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Country | US
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Telephone | 405-689-9820
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Fax | 405-689-9820
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Provider Business Mailing Address
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Address Line | 2390 WEDGEWOOD DR UNIT 6250
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City | AKRON
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State | OH
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Zip | 44312-2479
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Country | US
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Telephone | 888-238-1818
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Fax | 855-915-1521
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-25-429380
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License Number State | OK
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