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General NPI Number Information
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NPI Number | 1447274857
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Entity Type | Individual
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Provider Name | JAMES STUART LEWIS MD
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 04/22/2009
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Provider Practice Location Address
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Address Line | 200 VETERANS AVE
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City | BECKLEY
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State | WV
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Zip | 25801-6444
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Country | US
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Telephone | 304-763-3255
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Fax | 304-763-3255
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Provider Business Mailing Address
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Address Line | PO BOX 1460
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City | BEAVER
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State | WV
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Zip | 25813-1460
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Country | US
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Telephone | 304-763-3255
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Fax | 304-763-3255
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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 | 13546
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License Number State | WV
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