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General NPI Number Information
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NPI Number | 1447472162
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Entity Type | Individual
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Provider Name | RONALD FRANCIS LEWIS R.D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2301 W ALPINE AVE
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City | STOCKTON
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State | CA
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Zip | 95204-2701
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Country | US
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Telephone | 209-464-0669
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Fax | 209-460-1878
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Provider Business Mailing Address
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Address Line | 2301 W ALPINE AVE
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City | STOCKTON
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State | CA
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Zip | 95204-2701
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Country | US
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Telephone | 209-464-0669
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Fax | 209-460-1878
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number | SL1731
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License Number State | CA
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