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General NPI Number Information
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NPI Number | 1235160904
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Entity Type | Individual
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Provider Name | DR. SAMUEL BENJAMIN MAGNUS-LAWSON
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Gender | Male
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 07/08/2010
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Provider Practice Location Address
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Address Line | 1315 ST JOSEPH PKWY SUITE 1704
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City | HOUSTON
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State | TX
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Zip | 77002-8233
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Country | US
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Telephone | 713-655-0303
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Fax | 713-655-0302
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Provider Business Mailing Address
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Address Line | 1315 ST JOSEPH PKWY SUITE 1704
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City | HOUSTON
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State | TX
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Zip | 77002-8233
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Country | US
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Telephone | 713-655-0303
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Fax | 713-655-0302
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | G4344
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License Number State | TX
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