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General NPI Number Information
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NPI Number | 1184081010
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Entity Type | Individual
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Provider Name | ZACHARY M LEWTER CRNA
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Gender | Male
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Dates
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Enumeration Date | 01/22/2016
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 133 PARK ST
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City | MALONE
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State | NY
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Zip | 12953-1244
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Country | US
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Telephone | 518-483-3000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 55310
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City | BIRMINGHAM
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State | AL
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Zip | 35255-5310
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Country | US
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Telephone | 205-731-9701
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Fax | 205-930-2505
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 1-131804
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 730593-1
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License Number State | NY
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