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General NPI Number Information
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NPI Number | 1285740159
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Entity Type | Individual
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Provider Name | ELIZABETH A LEWIS D.O.
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Gender | Female
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 05/09/2008
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Provider Practice Location Address
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Address Line | 1200 J D ANDERSON DR MID ATLANTIC ANESTHESIA CONSULTANTS, PLLC
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City | MORGANTOWN
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State | WV
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Zip | 26505-3494
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Country | US
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Telephone | 304-346-9400
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Fax | 304-345-7320
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Provider Business Mailing Address
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Address Line | MID ATLANTIC ANESTHESIA CONSULTANTS PLLC P. O. BOX 711841
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City | COLUMBUS
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State | OH
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Zip | 43271-0001
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Country | US
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Telephone | 304-346-9400
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Fax | 304-345-7320
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 1972
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License Number State | WV
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