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General NPI Number Information
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NPI Number | 1659912137
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Entity Type | Individual
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Provider Name | MARY LEWIS PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 10/04/2019
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 4850 E MAIN ST STE 130
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City | COLUMBUS
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State | OH
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Zip | 43213-3194
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Country | US
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Telephone | 614-897-0301
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 866308
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City | PLANO
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State | TX
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Zip | 75086-6308
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTL0017349
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT018068
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License Number State | OH
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