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General NPI Number Information
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NPI Number | 1811622061
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Entity Type | Individual
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Provider Name | GREGORY LEW D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/21/2022
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 3118 CLAYTON RD STE 4
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City | CONCORD
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State | CA
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Zip | 94519-2733
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Country | US
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Telephone | 415-823-3572
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Fax |
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Provider Business Mailing Address
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Address Line | 3118 CLAYTON RD STE 4
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City | CONCORD
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State | CA
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Zip | 94519-2733
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Country | US
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Telephone | 415-823-3572
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 34958
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License Number State | CA
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