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General NPI Number Information
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NPI Number | 1275257677
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Entity Type | Organization
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Legal Business Name | CHRIS LAWRENCE, PHD & ASSOCIATES, LLC
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Dates
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Enumeration Date | 09/29/2022
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Last Update Date | 09/29/2022
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Provider Practice Location Address
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Address Line | 201 W BROADWAY STE F
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City | COLUMBIA
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State | MO
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Zip | 65203-3842
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Country | US
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Telephone | 573-214-0436
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Fax | 573-442-0606
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Provider Business Mailing Address
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Address Line | 201 W BROADWAY STE F
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City | COLUMBIA
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State | MO
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Zip | 65203-3842
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Country | US
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Telephone | 573-214-0436
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Fax | 573-442-0606
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Authorized Official
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Title or Position | DIRECTOR
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Name | CHRIS LAWRENCE
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Credential | PH.D.
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Telephone | 573-214-0436
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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