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General NPI Number Information
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NPI Number | 1255873022
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Entity Type | Individual
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Provider Name | MARCUS DWAYNE LAWS BS
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Gender | Male
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Dates
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Enumeration Date | 11/10/2016
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Last Update Date | 11/10/2016
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Provider Practice Location Address
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Address Line | 2640 FOREST HILL BLVD
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-5931
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Country | US
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Telephone | 828-242-4360
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Fax |
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Provider Business Mailing Address
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Address Line | 3621 TOWNHOUSE CT
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-4626
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Country | US
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Telephone | 828-242-4360
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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