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General NPI Number Information
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NPI Number | 1255365268
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Entity Type | Organization
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Legal Business Name | LEWIS MARSHALL MD & ASSOCIATES, PLLC
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1160 VARNUM ST NE SUITE 317
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City | WASHINGTON
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State | DC
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Zip | 20017-2107
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Country | US
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Telephone | 202-529-1961
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Fax | 202-529-1964
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Provider Business Mailing Address
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Address Line | 1160 VARNUM ST NE SUITE 317
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City | WASHINGTON
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State | DC
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Zip | 20017-2107
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Country | US
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Telephone | 202-529-1961
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Fax | 202-529-1964
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CHERYL D MILLS
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Credential |
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Telephone | 202-529-7932
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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