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NPI 1508137332

NPI 1508137332 : JILL HAMILTON LAWSON CRNA : KNOXVILLE, TN

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General NPI Number Information
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    NPI Number           |    1508137332
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    Entity Type          |    Individual 
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    Provider Name        |    JILL HAMILTON LAWSON CRNA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/25/2012
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    Last Update Date     |    12/30/2019
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Provider Practice Location Address
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    Address Line         |    501 20TH ST STE 606 
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    City                 |    KNOXVILLE
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    State                |    TN
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    Zip                  |    37916-1863
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    Country              |    US
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    Telephone            |    865-546-8040
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    Fax                  |    865-541-2288
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Provider Business Mailing Address
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    Address Line         |    501 20TH ST STE 606 
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    City                 |    KNOXVILLE
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    State                |    TN
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    Zip                  |    37916-1863
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    Country              |    US
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    Telephone            |    865-546-8040
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    Fax                  |    865-541-2288
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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        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    RN0000087915
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    License Number State |    TN
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Taxonomy #2
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    16700
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    License Number State |    TN
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Taxonomy #3
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    89833
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    License Number State |    NC
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