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General NPI Number Information
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NPI Number | 1922524578
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Entity Type | Individual
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Provider Name | BRITNAE L LEWIS APRN, CNP
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Gender | Female
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Dates
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Enumeration Date | 08/16/2017
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 790 W WALNUT ST
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City | OGLESBY
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State | IL
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Zip | 61348-1424
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Country | US
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Telephone | 815-221-1330
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Fax | 815-221-1331
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Provider Business Mailing Address
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Address Line | 284 N 3289TH RD
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City | LA SALLE
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State | IL
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Zip | 61301-4700
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Country | US
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Telephone | 815-343-8082
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 277002798
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 041390462
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License Number State | IL
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