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General NPI Number Information
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NPI Number | 1083679369
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Entity Type | Individual
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Provider Name | LAWRENCE JOSEPH LARDIERI PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1100 TUNNEL RD DEPARTMENT OF VETERAN AFFAIRS
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City | ASHEVILLE
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State | NC
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Zip | 28805-2043
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Country | US
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Telephone | 800-932-6408
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Fax | 828-299-5992
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Provider Business Mailing Address
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Address Line | 24 W EUCLID PKWY
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City | ASHEVILLE
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State | NC
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Zip | 28804-1416
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Country | US
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Telephone | 828-230-6783
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3228
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License Number State | NC
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