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General NPI Number Information
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NPI Number | 1275976474
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Entity Type | Individual
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Provider Name | ROBERT BENTON LEWIS III MD
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Gender | Male
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Dates
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Enumeration Date | 04/08/2013
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 430 BATH RD STE 102
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City | BRUNSWICK
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State | ME
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Zip | 04011-2656
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Country | US
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Telephone | 207-442-0350
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Fax | 207-618-5668
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Provider Business Mailing Address
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Address Line | 430 BATH RD STE 102
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City | BRUNSWICK
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State | ME
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Zip | 04011-2656
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Country | US
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Telephone | 207-442-0350
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Fax | 207-618-5668
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD22036
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License Number State | ME
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