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General NPI Number Information
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NPI Number | 1326312174
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Entity Type | Individual
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Provider Name | VERNON JOSEPH LAWRENCE D.O.
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Gender | Male
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Dates
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Enumeration Date | 02/25/2012
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Last Update Date | 02/04/2022
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Provider Practice Location Address
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Address Line | 12141 RICHMOND AVE
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City | HOUSTON
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State | TX
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Zip | 77082-2408
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Country | US
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Telephone | 713-715-9956
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Fax |
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Provider Business Mailing Address
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Address Line | 7400 FANNIN ST SUITE 650
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City | HOUSTON
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State | TX
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Zip | 77054-1920
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Country | US
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Telephone |
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | OS11860
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | P9391
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License Number State | TX
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