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General NPI Number Information
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NPI Number | 1336972058
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Entity Type | Individual
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Provider Name | E'JYPT LEWIS
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Gender | Female
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Dates
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Enumeration Date | 08/20/2024
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 40015 SIERRA HWY
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City | PALMDALE
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State | CA
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Zip | 93550-2101
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Country | US
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Telephone | 424-777-3404
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Fax |
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Provider Business Mailing Address
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Address Line | 1240 E AVENUE S APT 149
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City | PALMDALE
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State | CA
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Zip | 93550-6184
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Country | US
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Telephone | 323-216-3625
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 153181
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License Number State | CA
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