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NPI 1477372134

NPI 1477372134 : LEWIS NON-EMERGENCY MEDICAL TRANSPORTATION LLC : HUMBLE, TX

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General NPI Number Information
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    NPI Number           |    1477372134
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    Entity Type          |    Organization 
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    Legal Business Name  |    LEWIS NON-EMERGENCY MEDICAL TRANSPORTATION LLC 
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Dates
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    Enumeration Date     |    10/08/2024
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    Last Update Date     |    11/22/2024
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Provider Practice Location Address
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    Address Line         |    7010 OAK VILLAGE DR 
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    City                 |    HUMBLE
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    State                |    TX
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    Zip                  |    77396-2635
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    Country              |    US
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    Telephone            |    337-401-1108
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7010 OAK VILLAGE DR 
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    City                 |    HUMBLE
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    State                |    TX
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    Zip                  |    77396-2635
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    Country              |    US
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    Telephone            |    281-706-4293
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     AMY  LEWIS 
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    Credential           |    
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    Telephone            |    281-706-4293
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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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