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General NPI Number Information
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NPI Number | 1043476211
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Entity Type | Organization
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Legal Business Name | RODGER A LAWTON, DMD, PS
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Dates
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Enumeration Date | 08/06/2008
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | 3425 ENSIGN RD NE STE 210
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City | OLYMPIA
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State | WA
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Zip | 98506-5425
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Country | US
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Telephone | 360-459-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 3425 ENSIGN RD NE STE 210
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City | OLYMPIA
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State | WA
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Zip | 98506-5425
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Country | US
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Telephone | 360-459-4400
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RODGER ALTON LAWTON
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Credential | DMD
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Telephone | 360-459-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 6940
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License Number State | WA
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