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General NPI Number Information
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NPI Number | 1700898541
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Entity Type | Organization
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Legal Business Name | LEWIS CHIROPRACTIC PA
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 05/11/2012
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Provider Practice Location Address
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Address Line | 7219 FAIRMONT PKWY STE 180
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City | PASADENA
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State | TX
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Zip | 77505-4611
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Country | US
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Telephone | 281-476-1686
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Fax | 281-402-1032
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Provider Business Mailing Address
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Address Line | 7219 FAIRMONT PKWY STE 180
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City | PASADENA
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State | TX
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Zip | 77505-4611
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Country | US
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Telephone | 281-476-1686
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Fax | 281-402-1032
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. WILLIAM A LEWIS
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Credential | DC
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Telephone | 281-476-1686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 8619
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License Number State | TX
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