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General NPI Number Information
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NPI Number | 1366877151
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Entity Type | Individual
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Provider Name | DANA M LEWIS LMT
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Gender | Female
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Dates
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Enumeration Date | 09/11/2013
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 2855 W MARKET ST STE 204
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City | FAIRLAWN
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State | OH
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Zip | 44333-4034
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Country | US
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Telephone | 234-400-7720
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Fax |
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Provider Business Mailing Address
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Address Line | 2855 W MARKET ST STE 204
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City | FAIRLAWN
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State | OH
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Zip | 44333-4034
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Country | US
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Telephone | 330-714-8581
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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 | 173C00000X
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Taxonomy Name | Reflexologist
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License Number | 33.021102
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 33.021102
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 172M00000X
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Taxonomy Name | Mechanotherapist
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License Number | 33.021102
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License Number State | OH
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