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General NPI Number Information
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NPI Number | 1902895816
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Entity Type | Individual
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Provider Name | CYNTHIA M LEWIS MD
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Gender | Female
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Dates
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Enumeration Date | 10/14/2005
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Last Update Date | 12/02/2015
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Provider Practice Location Address
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Address Line | 4033 TALBOT RD S STE 430
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City | RENTON
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State | WA
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Zip | 98055-5772
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Country | US
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Telephone | 425-656-4110
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Fax | 425-656-4112
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Provider Business Mailing Address
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Address Line | PO BOX 34876
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City | SEATTLE
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State | WA
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Zip | 98124-1876
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Country | US
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Telephone | 425-656-5412
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Fax | 425-656-4096
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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 | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | MD60331994
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License Number State | WA
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