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General NPI Number Information
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NPI Number | 1518021583
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Entity Type | Individual
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Provider Name | CARMELITA M LEWIS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1701 LANGHORNE NEWTOWN RD
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City | LANGHORNE
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State | PA
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Zip | 19047-1003
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Country | US
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Telephone | 215-499-1255
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Fax | 215-860-7819
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Provider Business Mailing Address
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Address Line | 2 E RIDGE MEWS
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City | NEWTOWN
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State | PA
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Zip | 18940-1549
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Country | US
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Telephone | 215-499-1255
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Fax | 215-860-5819
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS005658L
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License Number State | PA
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