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General NPI Number Information
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NPI Number | 1356800619
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Entity Type | Individual
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Provider Name | CALLUM BIX LEWANDROWSKI
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Gender | Male
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Dates
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Enumeration Date | 03/17/2019
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 608 CHEAT RD
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City | MORGANTOWN
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State | WV
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Zip | 26508-4210
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Country | US
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Telephone | 855-988-2273
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Fax | 304-594-2408
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Provider Business Mailing Address
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Address Line | PO BOX 780
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City | MORGANTOWN
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State | WV
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Zip | 26507-0780
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Country | US
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Telephone | 681-342-2133
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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 | 2080P0201X
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Taxonomy Name | Pediatric Allergy/Immunology Physician
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License Number | 3370
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 3370
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License Number State | WV
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