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General NPI Number Information
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NPI Number | 1346292380
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Entity Type | Individual
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Provider Name | TRISHA LEWIN MS, RD, LDN
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Gender | Female
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 252 WOODSTOCK AVE
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City | CLARENDON HILLS
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State | IL
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Zip | 60514-2824
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Country | US
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Telephone | 248-318-9103
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Fax |
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Provider Business Mailing Address
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Address Line | 252 WOODSTOCK AVE
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City | CLARENDON HILLS
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State | IL
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Zip | 60514-2824
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Country | US
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Telephone |
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 164.004481
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 164.004481
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License Number State | IL
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