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General NPI Number Information
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NPI Number | 1205772399
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Entity Type | Individual
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Provider Name | ZANE STILLMAN LEWIS
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Gender | Male
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 251 E 1200 S
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City | HEBER CITY
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State | UT
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Zip | 84032-4923
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Country | US
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Telephone | 775-397-1538
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Fax |
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Provider Business Mailing Address
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Address Line | 392 N 800 E
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City | AMERICAN FORK
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State | UT
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Zip | 84003-1918
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Country | US
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Telephone |
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 2021035472
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License Number State | UT
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