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General NPI Number Information
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NPI Number | 1134725294
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Entity Type | Individual
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Provider Name | CHELSEA LEWIS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/04/2020
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 946 HARMONY RD
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City | EATONTON
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State | GA
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Zip | 31024-5877
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Country | US
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Telephone | 706-991-5320
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Fax | 866-720-5313
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Provider Business Mailing Address
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Address Line | 946 HARMONY RD
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City | EATONTON
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State | GA
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Zip | 31024-5877
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Country | US
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Telephone | 706-991-5320
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Fax | 866-720-5313
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN258710
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License Number State | GA
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