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General NPI Number Information
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NPI Number | 1710172911
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Entity Type | Organization
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Legal Business Name | THE LAWSONS HOUSE
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Dates
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Enumeration Date | 09/11/2007
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Last Update Date | 09/11/2007
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Provider Practice Location Address
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Address Line | 139 CIRCLE DR
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City | WALLACE
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State | NC
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Zip | 28466-2705
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Country | US
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Telephone | 910-285-3392
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 317
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City | HARRELLS
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State | NC
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Zip | 28444-0317
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SHARITA M LAWSON
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Credential |
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Telephone | 910-409-8476
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number | 031-055
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License Number State | NC
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