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General NPI Number Information
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NPI Number | 1679639876
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Entity Type | Individual
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Provider Name | ROBIN A LEWIS NP
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Gender | Female
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 510 WASHINGTON ST W
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City | CHARLESTON
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State | WV
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Zip | 25302-2036
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Country | US
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Telephone | 304-344-9841
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Fax | 304-344-1756
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Provider Business Mailing Address
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Address Line | 754 GARRISON AVE
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City | CHARLESTON
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State | WV
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Zip | 25302-3435
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Country | US
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Telephone | 304-344-9841
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Fax | 304-344-1756
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 41715
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License Number State | WV
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