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NPI 1578569976

NPI 1578569976 : HARRY MICHAEL LEWIS M.D. : PARIS, TX

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General NPI Number Information
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    NPI Number           |    1578569976
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    Entity Type          |    Individual 
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    Provider Name        |    HARRY MICHAEL LEWIS M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/22/2005
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    Last Update Date     |    03/22/2017
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Provider Practice Location Address
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    Address Line         |    707 LAMAR AVE STE C2
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    City                 |    PARIS
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    State                |    TX
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    Zip                  |    75460-4460
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    Country              |    US
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    Telephone            |    903-784-0878
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    Fax                  |    903-784-8220
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Provider Business Mailing Address
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    Address Line         |    707 LAMAR AVE STE C2
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    City                 |    PARIS
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    State                |    TX
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    Zip                  |    75460-4460
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    Country              |    US
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    Telephone            |    903-784-0878
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    Fax                  |    903-784-8220
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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        |    208G00000X
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    Taxonomy Name        |    Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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    License Number       |    J0989
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    J0989
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    License Number State |    TX
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