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General NPI Number Information
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NPI Number | 1336948751
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Entity Type | Individual
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Provider Name | RANADA LEWIS APRN
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Gender | Female
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 396 HIGHWAY 899
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City | HINDMAN
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State | KY
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Zip | 41822-8953
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Country | US
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Telephone | 606-785-9440
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Fax | 606-785-9645
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Provider Business Mailing Address
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Address Line | PO BOX 40
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City | WHITESBURG
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State | KY
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Zip | 41858-0040
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Country | US
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Telephone | 606-633-4871
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4036166
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License Number State | KY
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