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General NPI Number Information
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NPI Number | 1275508962
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Entity Type | Individual
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Provider Name | LAWRENCE DWAYNE COUNTS MD
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Gender | Male
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Dates
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Enumeration Date | 02/17/2006
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 1625 DAVID RAINES RD
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City | SHREVEPORT
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State | LA
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Zip | 71107-5899
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Country | US
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Telephone | 318-425-2252
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Fax | 318-425-2367
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Provider Business Mailing Address
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Address Line | PO BOX 740012
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City | ATLANTA
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State | GA
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Zip | 30374-0012
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Country | US
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Telephone | 773-352-1515
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Fax | 312-929-0373
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | E3271
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 20851
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | MD.203460
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License Number State | LA
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