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General NPI Number Information
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NPI Number | 1194835140
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Entity Type | Organization
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Legal Business Name | LAWRENCE E CURRIE PHD SC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 12/17/2020
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Provider Practice Location Address
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Address Line | 6815 W CAPITOL DR STE 203
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City | MILWAUKEE
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State | WI
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Zip | 53216-2056
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Country | US
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Telephone | 414-354-3809
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 240164
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City | MILWAUKEE
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State | WI
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Zip | 53224-9008
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Country | US
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Telephone | 414-354-3089
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Fax |
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | LAWRENCE E CURRIE
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Credential | PHD
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Telephone | 414-354-3089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 531057
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 531057
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License Number State | WI
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