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1336889013 NPI number — JEWEL LEWIS

NPI Number: 1336889013
Health Care Provider/Practitioner: JEWEL LEWIS

Information about “1336889013” NPI (JEWEL LEWIS) exists in 1336889013 in HTML format HTML  |  1336889013 in plain Text format TXT  |  1336889013 in PDF (Portable Document Format) PDF  |  1336889013 in an XML format XML  formats.

NPI Number : 1336889013 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336889013",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEWIS",
    "FirstName": "JEWEL",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "112 WALMART SUPERCENTER",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SILER CITY",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27344-6756",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "919-799-2226",
    "MailingAddressFaxNumber": "919-799-2216",
    "FirstLinePracticeLocationAddress": "10102 S MAIN ST STE S",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ARCHDALE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27263-3183",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "336-307-3015",
    "PracticeLocationAddressFaxNumber": "336-307-3004",
    "EnumerationDate": "03/30/2022",
    "LastUpdateDate": "10/29/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "21094",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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