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General NPI Number Information
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NPI Number | 1841219573
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Entity Type | Individual
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Provider Name | LEWIS E CHAMNESS LPC
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 10/06/2011
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Provider Practice Location Address
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Address Line | 7 E COLT SQUARE DR
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-2884
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Country | US
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Telephone | 479-575-0868
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Fax | 479-444-9346
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Provider Business Mailing Address
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Address Line | 20881 LAKESHORE DR
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City | SPRINGDALE
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State | AR
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Zip | 72764-8903
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Country | US
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Telephone | 479-422-4777
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Fax | 479-444-9346
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | P9707014
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License Number State | AR
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