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General NPI Number Information
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NPI Number | 1417001348
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Entity Type | Individual
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Provider Name | MICHAEL ALBERT LASON RN
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Gender | Male
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10301 GATEWAY WEST
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City | EL PASO
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State | TX
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Zip | 79925
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Country | US
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Telephone | 915-595-9628
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Fax |
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Provider Business Mailing Address
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Address Line | 521 ROSINANTE RD
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City | EL PASO
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State | TX
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Zip | 79922-2225
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Country | US
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Telephone | 915-740-4918
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 536207
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License Number State | TX
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