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1972589547 NPI number — ANITA MARIE LEWIS SEWELL MD

NPI Number: 1972589547
Health Care Provider/Practitioner: ANITA MARIE LEWIS SEWELL MD

Information about “1972589547” NPI (ANITA MARIE LEWIS SEWELL MD) exists in 1972589547 in HTML format HTML  |  1972589547 in plain Text format TXT  |  1972589547 in PDF (Portable Document Format) PDF  |  1972589547 in an XML format XML  formats.

NPI Number : 1972589547 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972589547",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEWIS SEWELL",
    "FirstName": "ANITA",
    "MiddleName": "MARIE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LEWIS",
    "OtherFirstName": "ANITA",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "PO BOX 3",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FREMONT",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43420-0003",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "419-350-2411",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1323 W 3RD ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DAYTON",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "45402-6714",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "419-350-2411",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/15/2005",
    "LastUpdateDate": "02/24/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "35066407L",
        "LicenseNumberStateCode": "OH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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