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NPI 1174024285

NPI 1174024285 : CHRIS LAWSON LLC : VANCOUVER, WA

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General NPI Number Information
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    NPI Number           |    1174024285
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHRIS LAWSON LLC 
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Dates
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    Enumeration Date     |    02/23/2018
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    Last Update Date     |    02/23/2018
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Provider Practice Location Address
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    Address Line         |    16209 SE MCGILLIVRAY BLVD STE M 
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    City                 |    VANCOUVER
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    State                |    WA
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    Zip                  |    98683-9034
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    Country              |    US
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    Telephone            |    360-892-3445
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    Fax                  |    360-213-2044
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Provider Business Mailing Address
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    Address Line         |    16209 SE MCGILLIVRAY BLVD STE M 
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    City                 |    VANCOUVER
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    State                |    WA
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    Zip                  |    98683-9034
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    Country              |    US
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    Telephone            |    360-892-3445
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER, AUDIOLOGIST
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    Name                 |    DR. CHRISTOPHER  LAWSON 
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    Credential           |    AUD
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    Telephone            |    360-892-3445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QH0700X
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    Taxonomy Name        |    Hearing and Speech Clinic/Center
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    License Number       |    
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    License Number State |    
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