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General NPI Number Information
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NPI Number | 1700544772
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Entity Type | Organization
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Legal Business Name | TAYLOR LAWSON, LLC
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Dates
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Enumeration Date | 12/07/2021
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Last Update Date | 12/07/2021
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Provider Practice Location Address
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Address Line | 3405 KYLE AVE N
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City | CRYSTAL
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State | MN
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Zip | 55422-2843
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Country | US
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Telephone | 507-581-9637
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Fax | 877-651-5014
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Provider Business Mailing Address
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Address Line | 3405 KYLE AVE N
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City | CRYSTAL
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State | MN
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Zip | 55422-2843
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Country | US
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Telephone | 507-581-9637
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | TAYLOR LAWSON
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Credential | MSW, LICSW
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Telephone | 612-412-4552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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