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General NPI Number Information
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NPI Number | 1861770133
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Entity Type | Individual
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Provider Name | MISS ASHLEY LEWIS
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Gender | Female
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Dates
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Enumeration Date | 08/03/2011
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Last Update Date | 11/07/2012
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Provider Practice Location Address
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Address Line | 10948 N MAY AVE SUITE B
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-6223
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Country | US
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Telephone | 405-751-8889
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Fax |
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Provider Business Mailing Address
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Address Line | 3272 W MEMORIAL RD APT. B
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-0907
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Country | US
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Telephone | 405-371-2334
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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