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General NPI Number Information
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NPI Number | 1386782431
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Entity Type | Individual
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Provider Name | SONYA ALENE LEWIS M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 07/07/2016
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Provider Practice Location Address
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Address Line | 201 E LIBERTY ST STE 2
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City | ANN ARBOR
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State | MI
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Zip | 48104-2118
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Country | US
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Telephone | 310-346-5376
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Fax |
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Provider Business Mailing Address
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Address Line | 201 E LIBERTY ST STE 2
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City | ANN ARBOR
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State | MI
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Zip | 48104-2118
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Country | US
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Telephone | 310-346-5376
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 4301085962
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A74724
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License Number State | CA
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