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General NPI Number Information
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NPI Number | 1700571338
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Entity Type | Individual
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Provider Name | SHARON D. COOPER-LEWIS LIFE & HEALTH
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Gender | Female
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Dates
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Enumeration Date | 04/10/2023
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 2658 WINGFIELD RD
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City | NORFOLK
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State | VA
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Zip | 23518-4655
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Country | US
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Telephone | 757-239-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 2658 WINGFIELD RD
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City | NORFOLK
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State | VA
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Zip | 23518-4655
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Country | US
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Telephone | 757-239-1100
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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 | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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