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General NPI Number Information
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NPI Number | 1285743211
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Entity Type | Organization
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Legal Business Name | CHRISTINA LEWIS DDS, PC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4502 E 41ST ST
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City | TULSA
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State | OK
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Zip | 74135-2553
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Country | US
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Telephone | 800-409-2563
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Fax | 623-321-6268
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Provider Business Mailing Address
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Address Line | 32885 SAND PIPER DR
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City | ROMULUS
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State | MI
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Zip | 48174-4395
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Country | US
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Telephone | 800-409-2563
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Fax | 623-321-6268
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Authorized Official
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Title or Position | PC
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Name | CHRISTINA LEWIS
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Credential | DDS
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Telephone | 800-409-2563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5835
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License Number State | OK
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