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General NPI Number Information
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NPI Number | 1407740673
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Entity Type | Individual
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Provider Name | KAYDEN C LEWIS
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Gender | Male
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 4 MEETING HOUSE RD STE 4&5
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City | CHELMSFORD
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State | MA
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Zip | 01824-2766
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Country | US
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Telephone | 978-970-2460
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Fax |
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Provider Business Mailing Address
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Address Line | 71 SESAME ST
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City | TEWKSBURY
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State | MA
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Zip | 01876-2511
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Country | US
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Telephone | 802-274-9788
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PTL88698
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License Number State | MA
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