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General NPI Number Information
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NPI Number | 1013934553
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Entity Type | Individual
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Provider Name | PAUL J LEWANDOWSKI PA
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 12/30/2021
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Provider Practice Location Address
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Address Line | 75 NIELSON ST EM DEPT
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City | WATSONVILLE
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State | CA
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Zip | 95076-2468
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Country | US
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Telephone | 831-761-5613
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Fax | 831-761-5667
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Provider Business Mailing Address
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Address Line | 2100 POWELL ST STE 900
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City | EMERYVILLE
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State | CA
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Zip | 94608-1844
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Country | US
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Telephone | 510-350-2673
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Fax | 510-879-4084
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA16348
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License Number State | CA
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