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General NPI Number Information
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NPI Number | 1659230266
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Entity Type | Individual
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Provider Name | LEWIS RAPHAEL CRUZ ESPIRITU B.S., C-SLPA
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Gender | Male
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 12 MEDSTAR BLVD STE 325
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City | BEL AIR
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State | MD
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Zip | 21015-1817
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Country | US
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Telephone | 443-464-2964
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Fax |
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Provider Business Mailing Address
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Address Line | 8216 BERRYFIELD DR
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City | NOTTINGHAM
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State | MD
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Zip | 21236-5503
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Country | US
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Telephone | 408-767-8283
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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