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General NPI Number Information
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NPI Number | 1851563274
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Entity Type | Individual
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Provider Name | MELISSA LOUISE LEWIS PA
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Gender | Female
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Dates
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Enumeration Date | 03/25/2008
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 2466 E CHESTNUT AVE STE 2
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City | VINELAND
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State | NJ
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Zip | 08361-8486
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Country | US
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Telephone | 856-691-2211
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Fax | 856-839-4128
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Provider Business Mailing Address
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Address Line | 90 MATAWAN RD STE 302
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City | MATAWAN
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State | NJ
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Zip | 07747-2653
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Country | US
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Telephone | 732-441-7177
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Fax | 732-441-7165
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00195100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 25MP00195100
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License Number State | NJ
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