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NPI 1871676635

NPI 1871676635 : ERIN LAWTON PA-C : SOLDOTNA, AK

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General NPI Number Information
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    NPI Number           |    1871676635
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    Entity Type          |    Individual 
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    Provider Name        |    ERIN LAWTON PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/23/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    35710 POPPY RIDGE RD 
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    City                 |    SOLDOTNA
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    State                |    AK
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    Zip                  |    99669-9704
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    Country              |    US
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    Telephone            |    907-262-2414
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    Fax                  |    907-262-1929
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Provider Business Mailing Address
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    Address Line         |    PO BOX 4216 
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    City                 |    SOLDOTNA
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    State                |    AK
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    Zip                  |    99669-4216
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    Country              |    US
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    Telephone            |    907-262-2414
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    Fax                  |    907-262-1929
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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       |    244
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    License Number State |    AK
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