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General NPI Number Information
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NPI Number | 1700905932
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Entity Type | Individual
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Provider Name | LESLIE POTTER LAWLEY M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 01/26/2010
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Provider Practice Location Address
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Address Line | 1365A CLIFTON RD NE SUITE 1400
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City | ATLANTA
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State | GA
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Zip | 30322-1013
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Country | US
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Telephone | 404-778-3333
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Fax | 404-778-3337
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Provider Business Mailing Address
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Address Line | 1365A CLIFTON RD NE SUITE 1400
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City | ATLANTA
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State | GA
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Zip | 30322-1013
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Country | US
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Telephone | 404-778-3333
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Fax | 404-778-3337
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 052985
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207NP0225X
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Taxonomy Name | Pediatric Dermatology Physician
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License Number | 036-112901
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License Number State | IL
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