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General NPI Number Information
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NPI Number | 1215790068
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Entity Type | Individual
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Provider Name | VANESSA RENAY LEWIS MSN, WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/05/2024
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 4226 E US HIGHWAY 64-ALT
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City | MURPHY
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State | NC
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Zip | 28906-6966
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Country | US
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Telephone | 828-479-6434
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 100181
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City | COLUMBIA
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State | SC
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Zip | 29202-3141
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Country | US
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Telephone | 828-202-5200
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 5019584
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License Number State | NC
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