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General NPI Number Information
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NPI Number | 1487469003
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Entity Type | Individual
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Provider Name | LATASHA LAWSON-FIELDS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 2902 PEACH ORCHARD RD
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City | AUGUSTA
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State | GA
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Zip | 30906-3504
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Country | US
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Telephone | 254-466-3162
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5272
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City | AUGUSTA
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State | GA
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Zip | 30916-5272
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Country | US
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Telephone | 254-466-3162
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 034662
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License Number State | GA
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