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General NPI Number Information
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NPI Number | 1356763197
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Entity Type | Individual
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Provider Name | EVIE TESCH LAWSON FNP
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Gender | Female
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Dates
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Enumeration Date | 01/14/2014
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Last Update Date | 01/15/2020
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Provider Practice Location Address
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Address Line | 2725 S JONES BLVD STE 4
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City | LAS VEGAS
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State | NV
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Zip | 89146-5667
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Country | US
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Telephone | 702-384-2238
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Fax |
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Provider Business Mailing Address
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Address Line | 4900 RICHMOND SQ STE 102
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City | OKLAHOMA CITY
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State | OK
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Zip | 73118-2042
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Country | US
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Telephone | 405-840-1999
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP60991476
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 201907262NP-PP
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN.0994927-NP
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN198176
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 18692
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License Number State | SC
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