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General NPI Number Information
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NPI Number | 1811999378
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Entity Type | Individual
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Provider Name | SARA ANN LEWIS APRN
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Gender | Female
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Dates
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Enumeration Date | 08/15/2005
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Last Update Date | 12/23/2019
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Provider Practice Location Address
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Address Line | 12200 FOREST HILL BLVD
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City | WELLINGTON
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State | FL
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Zip | 33414-5795
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Country | US
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Telephone | 561-303-0433
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Fax | 561-303-0433
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Provider Business Mailing Address
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Address Line | 2646 DANFORTH TER
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City | WELLINGTON
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State | FL
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Zip | 33414-3433
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Country | US
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Telephone | 561-303-0433
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Fax | 561-303-0433
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ARNP 2026462
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2026462
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License Number State | FL
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