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General NPI Number Information
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NPI Number | 1427202464
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Entity Type | Organization
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Legal Business Name | MICHELE LEWIS M.D. P.A.
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Dates
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Enumeration Date | 11/04/2008
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Last Update Date | 11/06/2008
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Provider Practice Location Address
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Address Line | 55 MEADOWLANDS PKWY
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City | SECAUCUS
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State | NJ
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Zip | 07094-2977
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Country | US
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Telephone | 201-392-3100
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Fax | 201-392-3270
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Provider Business Mailing Address
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Address Line | PO BOX 1215
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-0215
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Country | US
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Telephone | 201-871-6002
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Fax | 201-871-1186
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Authorized Official
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Title or Position | ANESTHESIOLOGIST
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Name | MICHELE LEWIS
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Credential | M.D.
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Telephone | 201-871-6002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 25MA05785100
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License Number State | NJ
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