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General NPI Number Information
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NPI Number | 1154963734
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Entity Type | Individual
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Provider Name | NATALEE ROSE LEWIS DPT
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Gender | Female
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Dates
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Enumeration Date | 10/15/2019
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 421 N CARROLLTON AVE STE 4
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City | NEW ORLEANS
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State | LA
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Zip | 70119-4746
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Country | US
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Telephone | 504-702-6688
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Fax | 504-702-6679
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Provider Business Mailing Address
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Address Line | 1200 CORPORATE DR STE 400
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City | HOOVER
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State | AL
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Zip | 35242-5424
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Country | US
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Telephone | 423-238-7568
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Fax | 504-309-6585
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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