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General NPI Number Information
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NPI Number | 1568719722
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Entity Type | Organization
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Legal Business Name | TR RICK LAWSON DDS PC
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Dates
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Enumeration Date | 08/07/2012
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Last Update Date | 04/20/2018
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Provider Practice Location Address
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Address Line | 8535 E HARTFORD DR STE 202
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-5444
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Country | US
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Telephone | 480-515-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 8535 E HARTFORD DR STE 202
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-5444
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Country | US
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Telephone | 480-515-1000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOMAS RICHARD LAWSON
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Credential | D.D.S.
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Telephone | 480-515-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2391
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License Number State | AZ
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