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General NPI Number Information
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NPI Number | 1659132843
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Entity Type | Individual
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Provider Name | WILLIAM KYLE LAWSON
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Gender | Male
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Dates
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Enumeration Date | 01/16/2024
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Last Update Date | 01/16/2024
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Provider Practice Location Address
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Address Line | 216 N JOHN REDDITT DR
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City | LUFKIN
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State | TX
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Zip | 75904-2620
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Country | US
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Telephone | 963-261-4696
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Fax |
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Provider Business Mailing Address
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Address Line | 486 COUNTY ROAD 979
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City | CUSHING
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State | TX
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Zip | 75760-3561
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Country | US
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Telephone | 325-283-0019
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | TX
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