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General NPI Number Information
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NPI Number | 1700948429
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Entity Type | Individual
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Provider Name | LAWSON WAITE GUNN DDS,
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Gender | Male
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Dates
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Enumeration Date | 12/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 483 BOSTON NECK RD
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City | NARRAGANSETT
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State | RI
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Zip | 02882-3104
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Country | US
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Telephone | 401-789-5511
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Fax | 401-789-8865
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Provider Business Mailing Address
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Address Line | 483 BOSTON NECK RD
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City | NARRAGANSETT
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State | RI
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Zip | 02882-3104
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Country | US
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Telephone | 401-789-5511
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Fax | 401-789-8865
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2051
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License Number State | RI
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