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General NPI Number Information
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NPI Number | 1457020448
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Entity Type | Individual
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Provider Name | HUE PHAM LEWIS CRNA
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Gender | Female
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Dates
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Enumeration Date | 09/13/2021
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Last Update Date | 09/13/2021
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Provider Practice Location Address
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Address Line | 5353 REYNOLDS ST
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City | SAVANNAH
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State | GA
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Zip | 31405-6015
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Country | US
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Telephone | 912-819-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 313 MAPLE WAY
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City | RINGGOLD
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State | GA
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Zip | 30736-5236
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Country | US
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Telephone | 478-719-3235
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Fax |
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN230747
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License Number State | GA
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