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General NPI Number Information
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NPI Number | 1740933449
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Entity Type | Organization
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Legal Business Name | GIANA LEWIS-FAIRLEY PA LLC
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Dates
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Enumeration Date | 02/02/2022
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Last Update Date | 02/02/2022
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Provider Practice Location Address
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Address Line | 11 ROBERT TONER BLVD STE 5 #364
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City | NORTH ATTLEBORO
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State | MA
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Zip | 02763
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Country | US
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Telephone | 781-234-4974
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Fax |
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Provider Business Mailing Address
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Address Line | 11 ROBERT TONER BLVD STE 5 #364
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City | NORTH ATTLEBORO
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State | MA
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Zip | 02763
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Country | US
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Telephone | 781-234-4974
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT
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Name | GIANA LEWIS-FAIRLEY
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Credential | PA
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Telephone | 781-234-4974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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