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General NPI Number Information
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NPI Number | 1083209449
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Entity Type | Organization
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Legal Business Name | ADVANTAGE HEALTH SERVICES
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Dates
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Enumeration Date | 03/07/2021
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Last Update Date | 03/07/2021
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Provider Practice Location Address
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Address Line | 30255 BRIDLEGATE DR
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City | BULVERDE
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State | TX
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Zip | 78163-4175
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Country | US
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Telephone | 210-865-1205
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Fax |
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Provider Business Mailing Address
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Address Line | 6914 OAK MANOR DR
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City | DALLAS
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State | TX
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Zip | 75230-2360
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Country | US
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Telephone | 214-202-7137
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. CHARLES TURNER LEWIS III
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Credential | MD
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Telephone | 214-202-7137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number |
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License Number State |
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