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General NPI Number Information
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NPI Number | 1285255406
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Entity Type | Individual
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Provider Name | PHYLLIS LEWIS-MILLER CPT, NPC, IV CERT
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Gender | Female
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Dates
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Enumeration Date | 04/28/2020
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Last Update Date | 03/04/2021
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Provider Practice Location Address
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Address Line | 8206 BROADWAY ST STE B103
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City | PEARLAND
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State | TX
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Zip | 77581-7877
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Country | US
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Telephone | 832-288-2339
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Fax | 832-288-3655
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Provider Business Mailing Address
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Address Line | PO BOX 1786
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City | PEARLAND
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State | TX
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Zip | 77588-1786
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Country | US
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Telephone | 832-288-2339
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Fax | 832-288-3655
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State | TX
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