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General NPI Number Information
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NPI Number | 1831779826
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Entity Type | Individual
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Provider Name | RICHARD PRESTON LEWIS DO
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Gender | Male
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Dates
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Enumeration Date | 04/13/2021
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 1023 MEDICAL CENTER PKWY STE 200
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City | SELMA
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State | AL
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Zip | 36701-7739
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Country | US
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Telephone | 334-875-4184
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Fax |
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Provider Business Mailing Address
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Address Line | 1953 ROCKY BROOK DR
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City | VESTAVIA
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State | AL
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Zip | 35243-1751
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Country | US
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Telephone | 205-913-4629
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 103370
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | DO.3518
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License Number State | AL
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