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General NPI Number Information
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NPI Number | 1669072328
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Entity Type | Individual
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Provider Name | IRMARITA LEWIS FNP
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Gender | Female
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Dates
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Enumeration Date | 10/30/2020
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 1525 WEBSTER ST STE D
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City | FAIRFIELD
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State | CA
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Zip | 94533-4935
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Country | US
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Telephone | 707-470-2888
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Fax | 866-626-0793
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Provider Business Mailing Address
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Address Line | 1250 OLIVER RD # 1116
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City | FAIRFIELD
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State | CA
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Zip | 94534-3467
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Country | US
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Telephone | 707-470-2888
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Fax | 866-626-0793
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 831617
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95016414
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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