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General NPI Number Information
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NPI Number | 1265481956
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Entity Type | Individual
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Provider Name | MR. RICHARD D. LEWIS
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Gender | Male
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 543 NORTH ST
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City | NEW BEDFORD
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State | MA
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Zip | 02740-2766
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Country | US
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Telephone | 508-984-5566
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Fax |
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Provider Business Mailing Address
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Address Line | 26 DELANO RD
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City | MARION
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State | MA
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Zip | 02738-2011
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Country | US
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Telephone | 508-984-5566
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | C-2903
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LADC1-1364
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LM4281
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License Number State | MA
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