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General NPI Number Information
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NPI Number | 1457362071
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Entity Type | Individual
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Provider Name | AIMEE' ANN LEWIS LPC
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Gender | Female
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1501 COMMERCE STREET
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City | YUKON
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State | OK
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Zip | 73085-1290
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Country | US
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Telephone | 405-354-1927
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Fax | 405-354-3927
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Provider Business Mailing Address
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Address Line | 409 MORNINGSIDE DR
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City | YUKON
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State | OK
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Zip | 73099-3343
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Country | US
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Telephone | 405-354-4989
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-1828
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License Number State | OK
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