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General NPI Number Information
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NPI Number | 1730864166
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Entity Type | Individual
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Provider Name | CARA MARIA LEWIS LMFT
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Gender | Female
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Dates
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Enumeration Date | 06/21/2023
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Last Update Date | 06/21/2023
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Provider Practice Location Address
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Address Line | 425 S ORLEANS AVE
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City | TAMPA
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State | FL
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Zip | 33606-2139
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Country | US
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Telephone | 813-461-4424
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Fax |
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Provider Business Mailing Address
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Address Line | 5806 SHELL RIDGE DR
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City | LITHIA
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State | FL
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Zip | 33547-4127
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Country | US
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Telephone | 610-836-1180
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MT4684
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License Number State | FL
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