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General NPI Number Information
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NPI Number | 1255282893
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Entity Type | Individual
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Provider Name | MERSHEL ELIZABETH LEWIS RN
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Gender | Female
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 3755 BLOOMFIELD RD UNIT 12
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City | MACON
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State | GA
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Zip | 31206-3696
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Country | US
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Telephone | 478-216-6336
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Fax | 478-508-9247
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Provider Business Mailing Address
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Address Line | 200 MASON PHILIP DR
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City | MACON
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State | GA
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Zip | 31216-6578
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Country | US
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Telephone | 478-508-9247
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Fax | 478-216-6336
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | RN064976
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License Number State | GA
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