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General NPI Number Information
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NPI Number | 1588364640
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Entity Type | Individual
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Provider Name | JUDITH K LEWIS FNP
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Gender | Female
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Dates
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Enumeration Date | 03/07/2023
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Last Update Date | 10/13/2024
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Provider Practice Location Address
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Address Line | 1629 W AVENUE J STE 106
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City | LANCASTER
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State | CA
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Zip | 93534-2851
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Country | US
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Telephone | 661-310-3757
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Fax |
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Provider Business Mailing Address
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Address Line | 36827 FELICITAS AVE
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City | PALMDALE
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State | CA
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Zip | 93551-7808
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Country | US
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Telephone | 661-406-5882
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95024104
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License Number State | CA
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