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General NPI Number Information
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NPI Number | 1316999063
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Entity Type | Organization
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Legal Business Name | EDNA M. LEWIN
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 11/23/2009
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Provider Practice Location Address
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Address Line | 7215 LA GRANADA DR
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City | HOUSTON
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State | TX
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Zip | 77083-4136
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Country | US
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Telephone | 281-575-0526
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Fax | 281-575-0057
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Provider Business Mailing Address
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Address Line | 7215 LA GRANADA DR
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City | HOUSTON
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State | TX
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Zip | 77083-4136
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Country | US
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Telephone | 281-575-0526
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Fax | 281-575-0057
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. EDNA MAE LEWIN
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Credential | RN, MSN
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Telephone | 281-575-0526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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