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General NPI Number Information
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NPI Number | 1649671165
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Entity Type | Individual
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Provider Name | JAIME LEWIS
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Gender | Female
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Dates
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Enumeration Date | 09/16/2014
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Last Update Date | 09/16/2014
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Provider Practice Location Address
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Address Line | 683 HIGH ST
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City | WESTWOOD
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State | MA
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Zip | 02090-2501
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Country | US
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Telephone | 781-329-4420
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Fax |
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Provider Business Mailing Address
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Address Line | 73 HAMPDEN DR APT 1C
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City | NORWOOD
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State | MA
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Zip | 02062-5417
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Country | US
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Telephone | 508-560-0390
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH235564
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License Number State | MA
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