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General NPI Number Information
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NPI Number | 1740021468
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Entity Type | Individual
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Provider Name | LINDSI BLU LEWIS SUDRC
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Gender | Female
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 1385 N JOHNSON AVE UNIT 111
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City | EL CAJON
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State | CA
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Zip | 92020-1685
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Country | US
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Telephone | 619-440-4801
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Fax |
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Provider Business Mailing Address
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Address Line | 1385 N JOHNSON AVE UNIT 111
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City | EL CAJON
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State | CA
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Zip | 92020-1685
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Country | US
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Telephone | 619-440-4801
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | R1552000324
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 20298
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License Number State | CA
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