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General NPI Number Information
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NPI Number | 1609095751
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Entity Type | Individual
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Provider Name | LEWIS MANTEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | BOARD OF HEALTH 16 GR. NECK RD. NORTH
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City | MASHPEE
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State | MA
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Zip | 02649
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Country | US
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Telephone | 508-539-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 298 MONOMOSCOY ROAD
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City | MASHPEE
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State | MA
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Zip | 02649
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Country | US
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Telephone | 508-539-1400
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 38837
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License Number State | MA
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