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General NPI Number Information
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NPI Number | 1023055233
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Entity Type | Individual
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Provider Name | WILFRED R LEWIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 81 HIGHLAND AVE DEPT. ANESTHESIA,
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City | SALEM
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State | MA
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Zip | 01970
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Country | US
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Telephone | 978-354-3384
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Fax |
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Provider Business Mailing Address
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Address Line | 5 DEARBORN WAY
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City | MIDDLETON
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State | MA
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Zip | 01949-1212
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Country | US
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Telephone | 978-354-3384
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 153565
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License Number State | MA
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