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General NPI Number Information
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NPI Number | 1972695765
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Entity Type | Individual
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Provider Name | SCOT MICHAEL LEWEY D.O.
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Gender | Male
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 1925 MOUNTAIN VIEW AVE
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City | LONGMONT
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State | CO
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Zip | 80501-3128
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Country | US
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Telephone | 720-718-8240
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Fax |
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Provider Business Mailing Address
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Address Line | 2920 N CASCADE AVE FL 3
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-6262
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Country | US
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Telephone | 719-636-1201
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Fax | 719-636-1326
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | C4622
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 36606
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License Number State | CO
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