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General NPI Number Information
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NPI Number | 1679098941
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Entity Type | Individual
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Provider Name | HANNAH PETA LAWSON
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Gender | Female
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Dates
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Enumeration Date | 08/08/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 42-42 64TH STREET 3RD FLOOR
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City | QUEENS
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State | NY
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Zip | 11377
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Country | US
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Telephone | 347-249-3106
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Fax |
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Provider Business Mailing Address
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Address Line | 4242 64TH ST FL 3
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City | WOODSIDE
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State | NY
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Zip | 11377-5047
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Country | US
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Telephone | 347-249-3106
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State | NY
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