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General NPI Number Information
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NPI Number | 1174910798
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Entity Type | Individual
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Provider Name | ERICA D LEWIS
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Gender | Female
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Dates
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Enumeration Date | 04/21/2015
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Last Update Date | 02/22/2022
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Provider Practice Location Address
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Address Line | 323 W PARK PLACE DR
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City | LANCASTER
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State | TX
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Zip | 75134-3251
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Country | US
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Telephone | 214-402-0282
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Fax | 214-397-4600
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Provider Business Mailing Address
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Address Line | PO BOX 411042
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City | DALLAS
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State | TX
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Zip | 75241-8042
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Country | US
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Telephone | 972-774-8231
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Fax | 214-397-4600
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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 | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 07239808
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License Number State | TX
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