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General NPI Number Information
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NPI Number | 1811014608
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Entity Type | Organization
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Legal Business Name | JOSEPH LEWIS DPM PC
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Dates
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Enumeration Date | 03/25/2007
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Last Update Date | 02/16/2011
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Provider Practice Location Address
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Address Line | 4100 JOHNSON RD SUITE 101
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City | STEUBENVILLE
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State | OH
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Zip | 43952-2356
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Country | US
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Telephone | 740-264-7064
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Fax | 740-266-7728
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Provider Business Mailing Address
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Address Line | 4100 JOHNSON RD SUITE 101
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City | STEUBENVILLE
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State | OH
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Zip | 43952-2356
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Country | US
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Telephone | 740-264-7064
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Fax | 740-266-7728
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Authorized Official
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Title or Position | OWNER
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Name | JOE LEWIS
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Credential | DPM
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Telephone | 740-264-7064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 36-00-2864
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License Number State | OH
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