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General NPI Number Information
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NPI Number | 1760740856
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Entity Type | Organization
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Legal Business Name | H.R. LEWIS, M.D.P.A.
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Dates
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Enumeration Date | 04/26/2012
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Last Update Date | 04/30/2012
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Provider Practice Location Address
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Address Line | 1 MEDICAL PKWY SUITE 139
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City | DALLAS
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State | TX
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Zip | 75234-7841
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Country | US
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Telephone | 972-241-6006
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Fax | 972-241-6075
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Provider Business Mailing Address
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Address Line | 1 MEDICAL PKWY SUITE 139
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City | DALLAS
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State | TX
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Zip | 75234-7841
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Country | US
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Telephone | 972-241-6006
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Fax | 972-241-6075
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HAROLD RAY LEWIS
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Credential | MD
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Telephone | 972-241-6006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | D8323
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License Number State | TX
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