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General NPI Number Information
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NPI Number | 1699261487
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Entity Type | Individual
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Provider Name | LATASHA R LAWSON NP
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Gender | Female
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Dates
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Enumeration Date | 07/05/2018
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 3405 MIKE PADGETT HWY
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City | AUGUSTA
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State | GA
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Zip | 30906-3815
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Country | US
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Telephone | 706-792-7171
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Fax |
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Provider Business Mailing Address
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Address Line | 2723 HUNTCLIFFE DR
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City | AUGUSTA
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State | GA
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Zip | 30909-0662
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Country | US
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Telephone | 478-363-0079
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Fax | 706-979-6402
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN227421
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License Number State | GA
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