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General NPI Number Information
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NPI Number | 1841015252
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Entity Type | Individual
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Provider Name | KIERSTIN ELIZABETH LAWSON PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | PO BOX 750
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City | HARROGATE
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State | TN
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Zip | 37752-0750
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Country | US
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Telephone | 423-869-3684
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Fax |
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Provider Business Mailing Address
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Address Line | 481 HIGHWAY 131
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City | THORN HILL
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State | TN
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Zip | 37881-5036
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Country | US
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Telephone | 865-585-0845
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 6178
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License Number State | TN
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