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General NPI Number Information
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NPI Number | 1538965223
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Entity Type | Individual
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Provider Name | RUSSELL DRUMMOND LAWSON MSW LCSWA CDP CMDCP
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Gender | Male
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Dates
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Enumeration Date | 02/22/2025
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Last Update Date | 02/22/2025
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Provider Practice Location Address
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Address Line | 221 DALTON DR
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City | RALEIGH
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State | NC
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Zip | 27615-1653
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Country | US
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Telephone | 919-645-8990
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Fax |
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Provider Business Mailing Address
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Address Line | 365 HIGHCLIFF CIR
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City | SEVEN DEVILS
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State | NC
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Zip | 28604-9107
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Country | US
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Telephone | 984-222-9880
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | P021836
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License Number State | NC
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