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General NPI Number Information
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NPI Number | 1861477838
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Entity Type | Individual
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Provider Name | MARGARET ANNE FRY LAWSON C-PNP
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Gender | Female
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 637 E DEER FLAT RD
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City | KUNA
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State | ID
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Zip | 83634-3444
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Country | US
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Telephone | 208-955-0200
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Fax | 208-922-2178
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Provider Business Mailing Address
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Address Line | 1357 COW HORSE DR
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City | KUNA
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State | ID
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Zip | 83634-1429
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Country | US
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Telephone | 208-562-8586
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Fax | 208-922-2178
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | NP286A
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License Number State | ID
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