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General NPI Number Information
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NPI Number | 1780950766
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Entity Type | Organization
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Legal Business Name | VETERINARY SPECIALTY GROUP PLL
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Dates
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Enumeration Date | 03/23/2012
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Last Update Date | 03/23/2012
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Provider Practice Location Address
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Address Line | 2505 S 80TH ST
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City | TACOMA
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State | WA
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Zip | 98409-8400
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Country | US
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Telephone | 253-983-1114
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Fax | 253-983-1115
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Provider Business Mailing Address
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Address Line | 2505 S 80TH ST
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City | TACOMA
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State | WA
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Zip | 98409-8400
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Country | US
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Telephone | 253-983-1114
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Fax | 253-983-1115
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Authorized Official
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Title or Position | CRITICAL CARE SPECIALIST
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Name | DR. ANNA KIRSTEN LAWSON
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Credential | DACVECC
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Telephone | 253-983-1114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number | VT00008096
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License Number State | WA
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