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General NPI Number Information
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NPI Number | 1194644039
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Entity Type | Individual
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Provider Name | AMY E LEWIS
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Gender | Female
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 2500 CALIFORNIA PLZ
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City | OMAHA
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State | NE
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Zip | 68178-0133
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Country | US
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Telephone | 402-280-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 1524 KNOB RD
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City | CHARLESTON
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State | WV
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Zip | 25314-2320
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Country | US
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Telephone | 931-220-1660
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | IN0010570
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License Number State | WV
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