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General NPI Number Information
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NPI Number | 1811717655
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Entity Type | Organization
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Legal Business Name | LEWC PLLC
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 237 WHITE ST STE 2
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City | JACKSONVILLE
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State | NC
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Zip | 28546-6351
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Country | US
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Telephone | 910-577-4977
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Fax |
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Provider Business Mailing Address
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Address Line | 1404 CLIFTON RD
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City | JACKSONVILLE
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State | NC
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Zip | 28540-8202
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL HAGAN
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Credential |
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Telephone | 910-577-4977
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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 |
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License Number State |
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