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General NPI Number Information
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NPI Number | 1538965785
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Entity Type | Individual
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Provider Name | ALICIA LEWIS NP
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Gender | Female
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 6850 E EVANS AVE STE 102
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City | DENVER
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State | CO
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Zip | 80224-2300
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Country | US
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Telephone | 303-691-5009
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Fax | 303-691-8897
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Provider Business Mailing Address
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Address Line | 8767 ROYAL MELBOURNE CIR
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City | PEYTON
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State | CO
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Zip | 80831-4103
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Country | US
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Telephone | 318-678-3547
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | APN.1000585-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.1000585-NP
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License Number State | CO
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