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General NPI Number Information
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NPI Number | 1548143324
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Entity Type | Individual
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Provider Name | SHAVON CHRISTINE LEWIS
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Gender | Female
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 7565 COURTHOUSE RD
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City | SPOTSYLVANIA
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State | VA
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Zip | 22551-2706
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Country | US
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Telephone | 540-582-7583
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Fax | 540-582-8825
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Provider Business Mailing Address
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Address Line | 9700 MANAHOAC CIR APT 304
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City | FREDERICKSBURG
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State | VA
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Zip | 22407-2622
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Country | US
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Telephone | 540-419-7701
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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