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General NPI Number Information
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NPI Number | 1134715121
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Entity Type | Individual
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Provider Name | PATRICIA M LEWIS
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Gender | Female
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Dates
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Enumeration Date | 12/15/2020
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Last Update Date | 12/15/2020
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Provider Practice Location Address
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Address Line | 1 ROBERT WOOD JOHNSON PL
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-1928
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Country | US
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Telephone | 732-937-8671
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Fax |
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Provider Business Mailing Address
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Address Line | K21 SHIRLEY LN
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-1420
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Country | US
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Telephone | 609-851-5242
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 26NR14530100
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License Number State | NJ
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