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General NPI Number Information
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NPI Number | 1467758847
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Entity Type | Organization
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Legal Business Name | MICHAEL K LEWIS, DDS, INC & RYAN R LLOYD, DMD, INC-A PARTNERSHIP
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Dates
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Enumeration Date | 02/02/2011
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Last Update Date | 02/02/2011
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Provider Practice Location Address
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Address Line | 337 EL DORADO ST SUITE 3-A
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City | MONTEREY
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State | CA
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Zip | 93940-4647
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Country | US
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Telephone | 831-373-2967
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Fax | 831-373-3513
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Provider Business Mailing Address
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Address Line | 337 EL DORADO ST SUITE 3-A
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City | MONTEREY
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State | CA
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Zip | 93940-4647
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Country | US
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Telephone | 831-373-2967
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Fax | 831-373-3513
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MARILU MUNIZ
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Credential |
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Telephone | 831-373-2967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 58276
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 29774
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License Number State | CA
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