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General NPI Number Information
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NPI Number | 1871913715
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Entity Type | Organization
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Legal Business Name | JOANNE C LEWIS DDS LLC
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Dates
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Enumeration Date | 04/18/2014
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Last Update Date | 04/18/2014
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Provider Practice Location Address
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Address Line | 2358 S COUNTY TRL
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City | EAST GREENWICH
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State | RI
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Zip | 02818-1583
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Country | US
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Telephone | 401-885-1500
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Fax | 401-885-1550
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Provider Business Mailing Address
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Address Line | 2358 S COUNTY TRL
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City | EAST GREENWICH
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State | RI
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Zip | 02818-1583
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Country | US
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Telephone | 401-885-1500
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Fax | 401-885-1550
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MR. DAVID LEWIS
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Credential |
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Telephone | 401-885-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 1912036013
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 1730152182
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 1487644852
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License Number State | RI
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