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General NPI Number Information
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NPI Number | 1760657555
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Entity Type | Organization
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Legal Business Name | WILLIAM R. LEWIS, M.D., INC
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 11/04/2008
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Provider Practice Location Address
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Address Line | 757 PACIFIC ST STE D1
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City | MONTEREY
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State | CA
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Zip | 93940-2819
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Country | US
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Telephone | 831-624-8713
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Fax | 831-624-5751
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Provider Business Mailing Address
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Address Line | PO BOX 1483
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City | PEBBLE BEACH
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State | CA
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Zip | 93953-1483
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Country | US
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Telephone | 831-624-8713
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Fax | 831-624-5751
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM R. LEWIS
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Credential | M.D.
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Telephone | 831-624-8713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | C232610
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License Number State | CA
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