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General NPI Number Information
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NPI Number | 1811183346
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Entity Type | Organization
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Legal Business Name | DAVID A. LEWIS, M.D., INC.
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 03/14/2015
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Provider Practice Location Address
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Address Line | 2204 GRANT RD SUITE 105
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-3855
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Country | US
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Telephone | 650-967-8890
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Fax | 650-967-8891
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Provider Business Mailing Address
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Address Line | 2204 GRANT RD SUITE 105
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-3855
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Country | US
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Telephone | 650-967-8890
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Fax | 650-967-8891
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID ARTHUR LEWIS
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Credential | M.D.
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Telephone | 650-967-8890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | G29804
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License Number State | CA
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