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General NPI Number Information
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NPI Number | 1962455519
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Entity Type | Individual
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Provider Name | ALBERT READ LEWIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 09/02/2011
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Provider Practice Location Address
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Address Line | 860 PARRIS ISLAND GTWY SUITE B2
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City | BEAUFORT
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State | SC
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Zip | 29906-6921
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Country | US
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Telephone | 843-986-9292
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Fax | 843-986-9292
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Provider Business Mailing Address
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Address Line | 860 PARRIS ISLAND GTWY SUITE B2
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City | BEAUFORT
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State | SC
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Zip | 29906-6921
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Country | US
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Telephone | 843-986-9292
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Fax | 843-986-9292
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 11027
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207YX0602X
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Taxonomy Name | Otolaryngic Allergy Physician
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License Number | 11207
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 11207
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License Number State | SC
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