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General NPI Number Information
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NPI Number | 1447543970
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Entity Type | Individual
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Provider Name | DEBRA DIANE LEWIS D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/17/2011
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 555 JUSTIS DR
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City | GREENEVILLE
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State | TN
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Zip | 37745-4288
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Country | US
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Telephone | 423-783-7965
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Fax | 833-908-2073
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Provider Business Mailing Address
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Address Line | 1275 DICK LONAS RD UNIT 101
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City | KNOXVILLE
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State | TN
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Zip | 37909-1383
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Country | US
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Telephone | 865-584-4747
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Fax | 606-408-6612
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 58004527
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License Number State | OH
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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 | 34.011210
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License Number State | OH
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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 | 3205
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License Number State | TN
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