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General NPI Number Information
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NPI Number | 1043600950
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Entity Type | Individual
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Provider Name | BRIAN ERVIN LEWIS PHARMD, MBA
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Gender | Male
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Dates
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Enumeration Date | 01/29/2015
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Last Update Date | 09/09/2021
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Provider Practice Location Address
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Address Line | 1235 PENN AVE STE 101
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City | WYOMISSING
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State | PA
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Zip | 19610-2100
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Country | US
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Telephone | 610-376-3000
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Fax | 610-478-3000
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Provider Business Mailing Address
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Address Line | 1235 PENN AVE STE 101
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City | WYOMISSING
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State | PA
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Zip | 19610-2100
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Country | US
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Telephone | 610-376-3000
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Fax | 610-478-3000
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RIO3967500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 021176
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202218463
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PST.023323
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License Number State | LA
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26993
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License Number State | MD
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Taxonomy #6
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP0011985
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License Number State | WV
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Taxonomy #7
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 28RW00241400
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License Number State | NJ
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Taxonomy #8
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP453172
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License Number State | PA
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