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General NPI Number Information
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NPI Number | 1518166362
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Entity Type | Individual
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Provider Name | KAREN C LEWIS LMFT, LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 07/22/2016
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Provider Practice Location Address
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Address Line | 160 MAIN RD STE 1806
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City | YORKTOWN
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State | VA
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Zip | 23691-5111
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Country | US
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Telephone | 256-625-9514
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 463
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City | WILLIAMSBURG
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State | VA
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Zip | 23187-0463
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Country | US
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Telephone | 256-625-9514
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | L299
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2121C
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904009364
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License Number State | VA
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