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General NPI Number Information
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NPI Number | 1275900482
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Entity Type | Organization
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Legal Business Name | CHRISTINE P. LEWIS, PC
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Dates
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Enumeration Date | 08/24/2015
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Last Update Date | 08/24/2015
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Provider Practice Location Address
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Address Line | 11236 ROBINWOOD DR SUITE 102
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City | HAGERSTOWN
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State | MD
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Zip | 21742-6708
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Country | US
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Telephone | 240-291-2367
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 489
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City | FUNKSTOWN
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State | MD
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Zip | 21734-0489
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Country | US
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Telephone | 240-291-2367
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Fax | 301-665-4587
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. CHRISTINE P. LEWIS
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Credential | MD
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Telephone | 240-291-2367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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