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General NPI Number Information
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NPI Number | 1275656092
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Entity Type | Organization
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Legal Business Name | DOLCE AND LEWIS P.C.
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Dates
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Enumeration Date | 04/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1018 17TH ST S
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City | BIRMINGHAM
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State | AL
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Zip | 35205-3614
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Country | US
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Telephone | 205-933-2460
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Fax | 205-933-2464
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Provider Business Mailing Address
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Address Line | 1018 17TH ST S
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City | BIRMINGHAM
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State | AL
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Zip | 35205-3614
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Country | US
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Telephone | 205-933-2460
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Fax | 205-933-2464
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Authorized Official
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Title or Position | PRESIDENT
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Name | DOUGLAS SCOTT LEWIS
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Credential |
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Telephone | 205-933-2460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 4717
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License Number State | AL
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