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General NPI Number Information
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NPI Number | 1922721638
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Entity Type | Individual
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Provider Name | CHEZANN LAWTON APRN
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Gender | Female
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Dates
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Enumeration Date | 09/20/2022
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 4475 W VILLAGE PKWY
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City | ELLENWOOD
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State | GA
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Zip | 30294-2869
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Country | US
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Telephone | 770-507-7950
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Fax | 716-710-8082
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Provider Business Mailing Address
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Address Line | 237 MONTGOMERY DR
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-2839
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Country | US
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Telephone | 312-687-3588
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209025533
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041463245
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN-NP328173
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License Number State | GA
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