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General NPI Number Information
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NPI Number | 1386693067
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Entity Type | Individual
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Provider Name | BETHANY L LAWSON M.S.
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Gender | Female
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1230 N DUQUESNE RD
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City | JOPLIN
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State | MO
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Zip | 64801-1509
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Country | US
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Telephone | 417-782-1443
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Fax | 417-782-3240
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Provider Business Mailing Address
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Address Line | 1744 SE MURPHY BLVD
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City | JOPLIN
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State | MO
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Zip | 64804-1063
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Country | US
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Telephone | 417-483-1918
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2001029228
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License Number State | MO
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