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General NPI Number Information
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NPI Number | 1376333609
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Entity Type | Individual
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Provider Name | ROBIN LEA LEWIS APSS
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Gender | Female
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 202 DOWNS LN
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City | BARDSTOWN
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State | KY
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Zip | 40004-8338
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Country | US
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Telephone | 502-849-9040
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Fax |
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Provider Business Mailing Address
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Address Line | 100 ASHBERRY DR APT 4
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City | BARDSTOWN
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State | KY
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Zip | 40004-1799
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Country | US
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Telephone | 502-203-3565
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | 1216217
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License Number State | KY
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