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General NPI Number Information
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NPI Number | 1538702816
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Entity Type | Individual
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Provider Name | SONYA DEE LEWIS DMD
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Gender | Female
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Dates
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Enumeration Date | 10/19/2019
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Last Update Date | 01/07/2024
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Provider Practice Location Address
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Address Line | 6688 NOLENSVILLE RD # 108-120
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City | BRENTWOOD
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State | TN
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Zip | 37027-8833
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Country | US
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Telephone | 615-663-4403
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Fax |
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Provider Business Mailing Address
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Address Line | 6688 NOLENSVILLE RD # 108-120
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City | BRENTWOOD
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State | TN
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Zip | 37027-8833
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Country | US
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Telephone | 615-663-4403
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN12602
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 62027
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 12281
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License Number State | TN
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