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General NPI Number Information
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NPI Number | 1053643056
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Entity Type | Individual
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Provider Name | LAWRENCE C WILLIAMS D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/02/2010
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Last Update Date | 02/10/2012
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Provider Practice Location Address
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Address Line | 18830 SOLEDAD CANYON RD
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City | CANYON COUNTRY
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State | CA
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Zip | 91351-3772
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Country | US
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Telephone | 661-575-7463
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Fax | 661-251-0315
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Provider Business Mailing Address
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Address Line | 2700 N MAIN ST SUITE. 1060
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City | SANTA ANA
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State | CA
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Zip | 92705-6634
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Country | US
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Telephone | 661-575-7463
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Fax | 661-251-0315
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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 | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | DC 30802
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | DC 30802
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 111NX0100X
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Taxonomy Name | Occupational Health Chiropractor
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License Number | DC 30802
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License Number State | CA
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