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General NPI Number Information
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NPI Number | 1306243886
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Entity Type | Individual
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Provider Name | CARLA L LEWIS CADC, C-LCPC
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Gender | Female
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Dates
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Enumeration Date | 11/26/2014
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 382 MAIN ST
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City | LIMESTONE
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State | ME
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Zip | 04750-6607
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Country | US
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Telephone | 207-325-4727
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Fax | 207-325-4308
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Provider Business Mailing Address
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Address Line | 1093 W MAIN ST
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City | DOVER FOXCROFT
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State | ME
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Zip | 04426-3717
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Country | US
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Telephone | 207-922-4600
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Fax | 207-910-2889
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CAC5630
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License Number State | ME
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