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General NPI Number Information
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NPI Number | 1689765836
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Entity Type | Individual
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Provider Name | GEORGE RALPH LAWSON MSW
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Gender | Male
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 60209 E GREYSTONE DR
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City | TUCSON
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State | AZ
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Zip | 85739-1962
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Country | US
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Telephone | 520-818-3211
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Fax |
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Provider Business Mailing Address
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Address Line | CMR 454 BOX 1516 APO AE 09250
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City | ANSPACH
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State | BAVARIA
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Zip | 09250
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Country | DE
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Telephone | 09802832850
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Fax | 09802832205
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-3505
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License Number State | AZ
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