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General NPI Number Information
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NPI Number | 1215275789
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Entity Type | Individual
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Provider Name | LUELLA TONI LEWIS MD
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Gender | Female
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Dates
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Enumeration Date | 01/17/2013
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Last Update Date | 01/17/2013
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Provider Practice Location Address
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Address Line | 330 W 42ND ST 9TH FLOOR - 900
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City | NEW YORK
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State | NY
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Zip | 10036-6902
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Country | US
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Telephone | 212-471-1300
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Fax | 212-947-0835
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Provider Business Mailing Address
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Address Line | 330 W 42ND ST 9TH FLOOR - 900
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City | NEW YORK
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State | NY
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Zip | 10036-6902
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Country | US
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Telephone | 212-471-1300
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Fax | 212-947-0835
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 244669
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 244669
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License Number State | NY
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