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General NPI Number Information
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NPI Number | 1154411098
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Entity Type | Individual
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Provider Name | WAYNE SEARLE LEWIN RPH
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Gender | Male
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 01/12/2010
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Provider Practice Location Address
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Address Line | 34402 N SCOTTSDALE RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85266-1226
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Country | US
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Telephone | 480-595-8019
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Fax |
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Provider Business Mailing Address
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Address Line | 31921 N 15TH DR
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City | PHOENIX
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State | AZ
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Zip | 85085-8099
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Country | US
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Telephone | 623-249-5359
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS39776
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | S015960
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License Number State | AZ
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