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General NPI Number Information
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NPI Number | 1508788845
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Entity Type | Individual
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Provider Name | VALERIE WILDING LEWIS RN
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Gender | Female
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 1845N GREENVILLE RD
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City | BRISTOLVILLE
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State | OH
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Zip | 44402-9700
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Country | US
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Telephone | 330-880-1079
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Fax |
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Provider Business Mailing Address
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Address Line | 2605 FOREST SPRINGS DR SE
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City | WARREN
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State | OH
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Zip | 44484-5624
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Country | US
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Telephone | 330-240-3831
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | RN-241826
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License Number State | OH
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