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General NPI Number Information
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NPI Number | 1992032080
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Entity Type | Organization
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Legal Business Name | JAMES LEWIS, M.A., L.C.D.C., P.A.
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Dates
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Enumeration Date | 11/10/2009
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Last Update Date | 04/03/2017
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Provider Practice Location Address
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Address Line | 908 TOWN AND COUNTRY BLVD
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City | HOUSTON
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State | TX
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Zip | 77024-2221
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Country | US
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Telephone | 713-984-7560
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Fax | 713-984-7576
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Provider Business Mailing Address
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Address Line | PO BOX 19171
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City | HOUSTON
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State | TX
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Zip | 77224-9171
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Country | US
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Telephone | 713-984-7560
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Fax | 713-984-7576
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | JAMES LEWIS
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Credential | M.A.
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Telephone | 713-984-7560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 10499
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License Number State | TX
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