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General NPI Number Information
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NPI Number | 1255391868
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Entity Type | Individual
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Provider Name | CYNTHIA RHEA LEWIS-YOUNGER MD, MPH
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Gender | Female
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 08/25/2018
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Provider Practice Location Address
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Address Line | 121 HILLTOP RD
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City | WASHOUGAL
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State | WA
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Zip | 98671
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Country | US
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Telephone | 813-321-9776
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Fax | 813-246-4654
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Provider Business Mailing Address
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Address Line | 121 HILLTOP RD
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City | WASHOUGAL
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State | WA
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Zip | 98671-7222
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Country | US
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Telephone | 813-321-9776
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Fax | 813-246-4654
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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 | 2083T0002X
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Taxonomy Name | Medical Toxicology (Preventive Medicine) Physician
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License Number | MD00040364
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2083T0002X
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Taxonomy Name | Medical Toxicology (Preventive Medicine) Physician
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License Number | MD173259
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | MD173259
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MD00040364
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MD173259
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License Number State | OR
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Taxonomy #6
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | MD00040364
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License Number State | WA
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