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General NPI Number Information
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NPI Number | 1578591830
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Entity Type | Individual
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Provider Name | CAROL VIRGINIA LEWIS ARNP
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Gender | Female
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 8614 STATE ROAD 70 E STE 200
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City | BRADENTON
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State | FL
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Zip | 34202-3710
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Country | US
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Telephone | 941-727-1243
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Fax | 941-751-9039
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Provider Business Mailing Address
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Address Line | 6900 TAVISTOCK LAKES BLVD STE 300
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City | ORLANDO
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State | FL
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Zip | 32827-7592
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Country | US
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Telephone | 833-309-3737
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Fax | 321-380-1411
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP 1087932
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License Number State | FL
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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 | APRN1087932
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License Number State | FL
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