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General NPI Number Information
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NPI Number | 1396717013
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Entity Type | Individual
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Provider Name | DANA MARIE LEWIS D.O.
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Gender | Female
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Dates
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Enumeration Date | 02/06/2006
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 3372 LAURENS RD
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City | GREENVILLE
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State | SC
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Zip | 29607-5236
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Country | US
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Telephone | 864-537-4600
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Fax | 855-858-0464
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Provider Business Mailing Address
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Address Line | PO BOX 604308
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City | CHARLOTTE
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State | NC
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Zip | 28260-4308
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Country | US
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Telephone | 804-273-8014
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Fax | 855-858-0464
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 100716
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 53354
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A7088
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 93933
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License Number State | SC
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