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General NPI Number Information
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NPI Number | 1356104913
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Entity Type | Individual
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Provider Name | REBEKA LINN LEWIS MSN, APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/05/2024
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 840 PINNACLE CT STE 8A
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City | MESQUITE
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State | NV
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Zip | 89027-3322
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Country | US
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Telephone | 435-703-9647
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Fax | 435-703-6003
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Provider Business Mailing Address
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Address Line | 1664 S DIXIE DR STE E102
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City | ST GEORGE
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State | UT
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Zip | 84770-7329
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Country | US
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Telephone | 435-703-9647
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 12923233-4405
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 875374
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License Number State | NV
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