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General NPI Number Information
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NPI Number | 1356662449
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Entity Type | Individual
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Provider Name | MRS. PAMELA J LEWIS
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Gender | Female
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Dates
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Enumeration Date | 06/12/2010
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Last Update Date | 06/12/2010
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Provider Practice Location Address
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Address Line | 1724 VILLAGE WAY SUITE A
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City | ORANGE PARK
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State | FL
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Zip | 32073-5264
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Country | US
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Telephone | 904-269-0886
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Fax | 904-269-0499
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Provider Business Mailing Address
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Address Line | 426 MYRTLE AVE
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City | GREEN COVE SPRINGS
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State | FL
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Zip | 32043-3026
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Country | US
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Telephone | 904-284-6183
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH10100
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 17591
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License Number State | TX
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