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General NPI Number Information
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NPI Number | 1306010392
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Entity Type | Individual
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Provider Name | ALTAMIT LEWIS LCPC
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Gender | Female
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Dates
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Enumeration Date | 04/21/2008
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Last Update Date | 01/13/2014
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Provider Practice Location Address
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Address Line | 6532 GUMWOOD RD
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City | LAS VEGAS
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State | NV
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Zip | 89108-4415
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Country | US
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Telephone | 702-499-6401
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Fax |
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Provider Business Mailing Address
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Address Line | 6532 GUMWOOD RD
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City | LAS VEGAS
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State | NV
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Zip | 89108-4415
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Country | US
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Telephone | 702-499-6401
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC3744
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License Number State | MD
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