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General NPI Number Information
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NPI Number | 1992099154
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Entity Type | Organization
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Legal Business Name | STEPHEN B. LEWIS, M.D., INC.
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Dates
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Enumeration Date | 06/06/2011
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Last Update Date | 08/09/2011
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Provider Practice Location Address
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Address Line | 2425 EAST ST SUITE 15
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City | CONCORD
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State | CA
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Zip | 94520-1928
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Country | US
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Telephone | 925-682-9232
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Fax | 925-672-2198
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Provider Business Mailing Address
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Address Line | 2425 EAST ST SUITE 15
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City | CONCORD
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State | CA
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Zip | 94520-1928
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Country | US
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Telephone | 925-682-9232
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Fax | 925-672-2198
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Authorized Official
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Title or Position | MD
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Name | DR. STEPHEN B. LEWIS
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Credential |
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Telephone | 925-682-9232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | G20175
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License Number State | CA
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