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General NPI Number Information
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NPI Number | 1326488107
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Entity Type | Individual
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Provider Name | CHELSEA L LEWIS AUD
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Gender | Female
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Dates
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Enumeration Date | 06/26/2013
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Last Update Date | 07/26/2018
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Provider Practice Location Address
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Address Line | 6035 FAIRVIEW RD
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City | CHARLOTTE
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State | NC
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Zip | 28210-3256
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Country | US
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Telephone | 704-295-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 2311 DELANEY AVE
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City | WILMINGTON
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State | NC
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Zip | 28403-6012
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Country | US
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Telephone | 910-762-8754
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Fax | 910-762-3291
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 10636
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License Number State | NC
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