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General NPI Number Information
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NPI Number | 1073796785
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Entity Type | Organization
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Legal Business Name | A.LAWSONMD PA, INC
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Dates
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Enumeration Date | 12/17/2007
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Last Update Date | 12/17/2007
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Provider Practice Location Address
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Address Line | 555 E TACHEVAH DR STE. 2E103
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City | PALM SPRINGS
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State | CA
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Zip | 92262-5750
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Country | US
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Telephone | 760-325-1114
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Fax | 760-325-9977
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Provider Business Mailing Address
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Address Line | 555 E TACHEVAH DR STE. 2E103
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City | PALM SPRINGS
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State | CA
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Zip | 92262-5750
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Country | US
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Telephone | 760-325-1114
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Fax | 760-325-9977
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | ARINOLA O LAWSON
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Credential | MD
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Telephone | 951-741-1962
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A48647
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License Number State | CA
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