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General NPI Number Information
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NPI Number | 1659614212
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Entity Type | Individual
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Provider Name | STEVEN J. LEWIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/02/2013
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Last Update Date | 09/14/2022
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Provider Practice Location Address
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Address Line | 1712 E BROAD ST
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City | RICHMOND
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State | VA
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Zip | 23223-6930
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Country | US
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Telephone | 804-344-9848
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Fax |
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Provider Business Mailing Address
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Address Line | 1395 NW 167TH ST
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-5710
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Country | US
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Telephone | 804-228-1143
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Fax | 804-228-7382
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101260742
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License Number State | VA
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