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General NPI Number Information
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NPI Number | 1649983669
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Entity Type | Individual
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Provider Name | STEPHANIE LOUISE LEWIS RDN
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Gender | Female
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Dates
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Enumeration Date | 01/04/2023
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 107 BLUEBERRY LN
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City | STORMVILLE
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State | NY
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Zip | 12582-5340
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Country | US
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Telephone | 845-494-1385
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Fax |
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Provider Business Mailing Address
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Address Line | 107 BLUEBERRY LN
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City | STORMVILLE
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State | NY
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Zip | 12582-5340
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Country | US
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Telephone | 845-494-1385
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 012113
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 3281
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License Number State | CT
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Taxonomy #5
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | L007745
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 5186
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License Number State | MN
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Taxonomy #7
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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