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General NPI Number Information
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NPI Number | 1316085996
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Entity Type | Individual
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Provider Name | LAWRENCE GRANT NELSON MD
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Gender | Male
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Dates
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Enumeration Date | 02/03/2007
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | 6619 N WICKHAM RD
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City | MELBOURNE
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State | FL
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Zip | 32940-2006
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Country | US
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Telephone | 321-259-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 6619 N WICKHAM RD
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City | MELBOURNE
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State | FL
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Zip | 32940-2006
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Country | US
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Telephone | 329-259-9500
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Fax | 321-574-8656
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME139584
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License Number State | FL
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