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General NPI Number Information
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NPI Number | 1093246597
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Entity Type | Individual
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Provider Name | REBEKAH GAIL LAWRENCE
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Gender | Female
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Dates
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Enumeration Date | 03/26/2017
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Last Update Date | 04/01/2021
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Provider Practice Location Address
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Address Line | 312 W 8TH AVE
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City | SPOKANE
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State | WA
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Zip | 99204-2506
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Country | US
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Telephone | 918-404-8198
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Fax |
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Provider Business Mailing Address
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Address Line | 1617 S KALANCHOE AVE
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City | BROKEN ARROW
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State | OK
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Zip | 74012-9074
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Country | US
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Telephone | 918-760-7001
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | WA
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