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General NPI Number Information
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NPI Number | 1679889737
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Entity Type | Individual
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Provider Name | ERIC GERARD LAWTON JR. D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 08/27/2010
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Last Update Date | 12/20/2012
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Provider Practice Location Address
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Address Line | 1188 RALPH DAVID ABERNATHY BLVD SW #101
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City | ATLANTA
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State | GA
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Zip | 30310-1716
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Country | US
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Telephone | 404-758-0770
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Fax | 404-581-5292
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Provider Business Mailing Address
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Address Line | 1188 RALPH DAVID ABERNATHY BLVD SW #101
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City | ATLANTA
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State | GA
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Zip | 30310-1716
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Country | US
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Telephone | 404-758-0770
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Fax | 404-581-5292
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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 | DN014326
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License Number State | GA
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