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General NPI Number Information
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NPI Number | 1023680360
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Entity Type | Individual
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Provider Name | CASEY DENISE LEWER DPT
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Gender | Female
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Dates
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Enumeration Date | 07/15/2021
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Last Update Date | 03/29/2023
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Provider Practice Location Address
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Address Line | 2011 BROADWAY ST STE 130
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City | PEARLAND
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State | TX
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Zip | 77581-5945
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Country | US
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Telephone | 513-262-5569
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Fax |
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Provider Business Mailing Address
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Address Line | 2011 CLEARFIELD CIR
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City | RICHARDSON
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State | TX
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Zip | 75081-5423
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Country | US
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Telephone | 513-262-5569
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1347627
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License Number State | TX
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