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General NPI Number Information
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NPI Number | 1285647156
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Entity Type | Individual
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Provider Name | LISA B. LEWIS M.A., CCC-A
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Gender | Female
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2300 PENNSYLVANIA AVE SUITE 1-C
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City | WILMINGTON
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State | DE
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Zip | 19806-1392
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Country | US
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Telephone | 302-654-1011
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Fax | 302-654-3821
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Provider Business Mailing Address
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Address Line | 36 BIRCH RD
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City | MALVERN
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State | PA
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Zip | 19355-1645
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Country | US
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Telephone | 610-651-5719
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Fax | 302-658-3821
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 02-0000049
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 03-0000074
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License Number State | DE
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