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General NPI Number Information
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NPI Number | 1083778237
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Entity Type | Organization
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Legal Business Name | LEWE INC
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2313 B EXECUTIVE PARK
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City | GREENVILLE
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State | NC
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Zip | 27334-0886
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Country | US
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Telephone | 252-439-2275
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Fax | 252-439-2353
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Provider Business Mailing Address
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Address Line | 2313 B EXECUTIVE PARK
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City | GREENVILLE
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State | NC
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Zip | 27834
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Country | US
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Telephone | 252-439-2275
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Fax | 252-439-2353
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. GERALDINE MONK JONES
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Credential | MS
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Telephone | 252-439-2275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MHL-074-109
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License Number State | NC
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