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General NPI Number Information
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NPI Number | 1871992768
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Entity Type | Individual
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Provider Name | SAMANTHA LEWANDOWSKI AUD
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Gender | Female
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Dates
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Enumeration Date | 08/18/2014
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Last Update Date | 09/05/2018
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Provider Practice Location Address
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Address Line | 312 COTTAGE ST STE E
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City | SANFORD
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State | ME
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Zip | 04073
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Country | US
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Telephone | 603-436-8668
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Fax | 603-436-4499
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Provider Business Mailing Address
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Address Line | 312 COTTAGE ST STE E
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City | SANFORD
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State | ME
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Zip | 04073-1835
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Country | US
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Telephone | 207-324-8483
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Fax | 207-490-5558
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AP2755
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License Number State | ME
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