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General NPI Number Information
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NPI Number | 1326458878
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Entity Type | Organization
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Legal Business Name | TAMIKA LEWIS
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Dates
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Enumeration Date | 05/06/2014
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Last Update Date | 06/12/2015
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Provider Practice Location Address
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Address Line | 13400 RIVERSIDE DR STE 318
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-2501
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Country | US
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Telephone | 818-284-7088
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Fax | 818-788-9541
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Provider Business Mailing Address
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Address Line | 13400 RIVERSIDE DR STE 318
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-2501
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Country | US
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Telephone | 818-284-7088
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Fax | 818-788-9541
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MS. TAMIKA L LEWIS
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Credential | LCSW
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Telephone | 818-284-7088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 61311
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License Number State | CA
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