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General NPI Number Information
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NPI Number | 1073835153
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Entity Type | Individual
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Provider Name | JOHN A. LEWIS PHARMD
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Gender | Male
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Dates
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Enumeration Date | 02/17/2010
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Last Update Date | 02/17/2010
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Provider Practice Location Address
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Address Line | 802 W STATE ST
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City | HASTINGS
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State | MI
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Zip | 49058-1659
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Country | US
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Telephone | 269-948-9411
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Fax | 269-948-0356
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Provider Business Mailing Address
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Address Line | 802 W STATE ST
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City | HASTINGS
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State | MI
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Zip | 49058-1659
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Country | US
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Telephone | 269-948-9411
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Fax | 269-948-0356
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 5302026936
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 8117
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License Number State | AZ
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