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General NPI Number Information
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NPI Number | 1639009418
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Entity Type | Organization
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Legal Business Name | CAIRN LONGEVITY MEDICINE
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Dates
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Enumeration Date | 05/21/2026
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Last Update Date | 05/21/2026
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Provider Practice Location Address
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Address Line | 11500 STATE HIGHWAY 121 STE 810
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City | FRISCO
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State | TX
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Zip | 75035-9347
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Country | US
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Telephone | 214-618-9613
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Fax | 833-753-1061
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Provider Business Mailing Address
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Address Line | 11500 STATE HIGHWAY 121 STE 810
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City | FRISCO
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State | TX
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Zip | 75035-9347
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Country | US
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Telephone | 214-618-9613
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Fax | 833-753-1061
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | JOSHUA WAYNE LEWIS
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Credential |
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Telephone | 214-618-9613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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