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General NPI Number Information
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NPI Number | 1912501024
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Entity Type | Individual
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Provider Name | MAGGIE MAE LEWISKI
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Gender | Female
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Dates
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Enumeration Date | 11/30/2020
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Last Update Date | 11/30/2020
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Provider Practice Location Address
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Address Line | 290 POTTSTOWN AVE
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City | PENNSBURG
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State | PA
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Zip | 18073-1807
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Country | US
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Telephone | 215-541-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 314 WOODS EDGE DR
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City | DOUGLASSVILLE
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State | PA
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Zip | 19518-9269
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Country | US
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Telephone | 484-366-5704
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP441728
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License Number State | PA
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