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General NPI Number Information
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NPI Number | 1508336447
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Entity Type | Individual
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Provider Name | JULIA LEWIS APRN-BC
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Gender | Female
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Dates
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Enumeration Date | 12/04/2018
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 4303 PITMAN ST # 4303
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City | FORT SILL
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State | OK
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Zip | 73503-4473
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Country | US
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Telephone | 580-585-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 21472 NE NORTH DR
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City | FLETCHER
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State | OK
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Zip | 73541-3620
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Country | US
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Telephone | 631-790-1070
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ00880600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 26NJ00880600
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License Number State | NJ
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