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General NPI Number Information
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NPI Number | 1922062942
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Entity Type | Individual
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Provider Name | JAMES M LEWIS MD
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Gender | Male
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 12/29/2021
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Provider Practice Location Address
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Address Line | 2915 REAR 3RD AVE
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City | HUNTINGTON
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State | WV
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Zip | 25702
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Country | US
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Telephone | 304-691-8921
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Fax | 304-691-1375
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Provider Business Mailing Address
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Address Line | 1600 MEDICAL CENTER DRIVE SUITE 3500
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City | HUNTINGTON
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State | WV
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Zip | 25701
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Country | US
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Telephone | 304-691-1300
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Fax | 304-691-1375
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 13719
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | 13719
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License Number State | WV
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