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General NPI Number Information
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NPI Number | 1689099467
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Entity Type | Individual
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Provider Name | SHARON LEWIS M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/03/2014
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Last Update Date | 03/03/2014
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Provider Practice Location Address
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Address Line | 175 RIVER NORTH WALK
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City | ATLANTA
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State | GA
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Zip | 30328-1119
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Country | US
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Telephone | 404-787-0406
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Fax | 770-804-0087
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Provider Business Mailing Address
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Address Line | 175 RIVER NORTH WALK
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City | ATLANTA
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State | GA
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Zip | 30328-1119
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Country | US
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Telephone | 404-787-0406
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Fax | 770-804-0087
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 24968
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | F8748
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License Number State | TX
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