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General NPI Number Information
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NPI Number | 1174644728
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Entity Type | Individual
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Provider Name | TAHIRA S LEWIS RN
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Gender | Female
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 10/30/2026
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Provider Practice Location Address
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Address Line | 25165 RANDOLPH RD
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City | BEDFORD HEIGHTS
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State | OH
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Zip | 44146-3952
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Country | US
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Telephone | 440-494-5794
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Fax |
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Provider Business Mailing Address
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Address Line | 5126 E 131ST ST
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City | CLEVELAND
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State | OH
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Zip | 44125-3006
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Country | US
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Telephone | 216-510-4543
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 368-056
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License Number State | OH
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