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General NPI Number Information
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NPI Number | 1912045923
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Entity Type | Organization
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Legal Business Name | THE LAWSON GROUP, LLC.
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 07/16/2007
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Provider Practice Location Address
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Address Line | 3020 W WILLOW KNOLLS DR
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City | PEORIA
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State | IL
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Zip | 61614-8127
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Country | US
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Telephone | 309-693-7665
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Fax | 309-693-7664
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Provider Business Mailing Address
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Address Line | 3020 W WILLOW KNOLLS DR
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City | PEORIA
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State | IL
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Zip | 61614-8127
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Country | US
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Telephone | 309-693-7665
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Fax | 309-693-7664
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | MR. RANDY LAWSON
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Credential |
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Telephone | 309-693-7665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1010253
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License Number State | IL
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