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General NPI Number Information
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NPI Number | 1649948456
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Entity Type | Individual
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Provider Name | LAWSON SKIPPER HOOVER DDS
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Gender | Male
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Dates
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Enumeration Date | 09/06/2021
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Last Update Date | 09/06/2021
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Provider Practice Location Address
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Address Line | 1201 HIGHWAY 19E BYP STE 3
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City | ELIZABETHTON
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State | TN
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Zip | 37643-4698
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Country | US
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Telephone | 423-543-3002
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Fax |
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Provider Business Mailing Address
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Address Line | 339 LETTERFERN DR
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City | BANNER ELK
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State | NC
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Zip | 28604-9838
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Country | US
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Telephone | 225-773-0362
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 11731
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License Number State | TN
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