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General NPI Number Information
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NPI Number | 1285894493
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Entity Type | Organization
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Legal Business Name | TANYA P LAWHON D.D.S.P.A.
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Dates
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Enumeration Date | 06/11/2008
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Last Update Date | 06/11/2008
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Provider Practice Location Address
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Address Line | 312 S AVENUE B
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City | BISHOP
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State | TX
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Zip | 78343-2810
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Country | US
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Telephone | 361-584-2217
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Fax |
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Provider Business Mailing Address
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Address Line | 312 S AVENUE B
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City | BISHOP
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State | TX
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Zip | 78343-2810
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. TAYNA P LAWHON
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Credential | DDSPA
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Telephone | 361-584-2217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 21870
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License Number State | TX
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