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General NPI Number Information
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NPI Number | 1447630389
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Entity Type | Organization
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Legal Business Name | LEWIS TRANSPORTATION LLC
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Dates
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Enumeration Date | 06/05/2015
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 123 BRODNAX DR
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City | JASPER
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State | TX
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Zip | 75951-1500
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Country | US
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Telephone | 254-371-0462
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Fax | 409-202-5099
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Provider Business Mailing Address
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Address Line | 123 BRODNAX DR
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City | JASPER
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State | TX
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Zip | 75951-1500
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Country | US
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Telephone | 254-371-0462
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Fax | 409-202-5099
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Authorized Official
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Title or Position | OWNER
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Name | RAMONA F WALKER
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Credential | OWNER
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Telephone | 254-371-0462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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