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General NPI Number Information
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NPI Number | 1225756265
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Entity Type | Individual
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Provider Name | TAYLER LYNN LEWIS PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/16/2022
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 65 SHENANDOAH AVE STE 201
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City | DALEVILLE
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State | VA
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Zip | 24083-3205
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Country | US
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Telephone | 540-591-7514
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Fax |
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Provider Business Mailing Address
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Address Line | 180 HELM DR
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City | ELLISTON
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State | VA
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Zip | 24087-3522
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Country | US
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Telephone | 540-597-5233
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305215391
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License Number State | VA
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