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General NPI Number Information
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NPI Number | 1578791299
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Entity Type | Individual
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Provider Name | ADAM ANDRES LEWIS ATC/L, MS
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Gender | Male
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Dates
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Enumeration Date | 07/01/2009
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Last Update Date | 07/01/2009
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Provider Practice Location Address
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Address Line | 1211 MEDICAL CENTER DR
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City | NASHVILLE
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State | TN
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Zip | 37232-0004
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Country | US
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Telephone | 615-322-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 1753 ELIJAH RYAN DR
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City | ANTIOCH
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State | TN
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Zip | 37013-3990
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Country | US
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Telephone | 269-420-8711
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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 | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number | AT 0000001193
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License Number State | TN
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