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General NPI Number Information
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NPI Number | 1184631541
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Entity Type | Individual
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Provider Name | HENRY L LEW MD
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Gender | Male
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 10/02/2021
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Provider Practice Location Address
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Address Line | 1210 E ARQUES AVE STE 206
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City | SUNNYVALE
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State | CA
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Zip | 94085-5422
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Country | US
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Telephone | 408-431-8398
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Fax |
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Provider Business Mailing Address
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Address Line | 1210 E ARQUES AVE STE 206
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City | SUNNYVALE
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State | CA
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Zip | 94085-5422
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Country | US
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Telephone | 808-517-7018
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | A69723
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License Number State | CA
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