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General NPI Number Information
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NPI Number | 1144284597
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Entity Type | Individual
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Provider Name | DARREN CAMPBELL LEWIS DC
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Gender | Male
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Dates
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Enumeration Date | 04/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 105 CHERRY ST
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City | ABBEVILLE
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State | SC
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Zip | 29620-2205
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Country | US
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Telephone | 864-366-4002
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Fax |
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Provider Business Mailing Address
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Address Line | 105 CHERRY ST
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City | ABBEVILLE
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State | SC
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Zip | 29620-2205
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Country | US
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Telephone | 864-366-4002
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1842
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License Number State | SC
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