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1255308474 NPI number — CAROL S LEWIS PA

NPI Number: 1255308474
Health Care Provider/Practitioner: CAROL S LEWIS PA

Information about “1255308474” NPI (CAROL S LEWIS PA) exists in 1255308474 in HTML format HTML  |  1255308474 in plain Text format TXT  |  1255308474 in PDF (Portable Document Format) PDF  |  1255308474 in an XML format XML  formats.

NPI Number : 1255308474 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255308474",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEWIS",
    "FirstName": "CAROL",
    "MiddleName": "S",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 499",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PARRISH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34219-0499",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "941-776-4000",
    "MailingAddressFaxNumber": "941-776-4010",
    "FirstLinePracticeLocationAddress": "12271 US HIGHWAY 301 N",
    "SecondLinePracticeLocationAddress": "301",
    "PracticeLocationAddressCityName": "PARRISH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34219-8410",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "941-776-4000",
    "PracticeLocationAddressFaxNumber": "941-776-4010",
    "EnumerationDate": "03/07/2006",
    "LastUpdateDate": "03/29/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "2303",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "PA9104822",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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