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General NPI Number Information
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NPI Number | 1104684315
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Entity Type | Individual
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Provider Name | EMILY MARY LAWSON PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/12/2024
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 180 SHREWSBURY PLZ
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4323
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Country | US
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Telephone | 732-703-7333
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Fax |
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Provider Business Mailing Address
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Address Line | 812 DONEGAL CT
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City | TOMS RIVER
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State | NJ
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Zip | 08753-3508
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Country | US
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Telephone | 732-551-1760
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00809200
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License Number State | NJ
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