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General NPI Number Information
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NPI Number | 1336149152
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Entity Type | Individual
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Provider Name | WILLIAM S. LAWRENCE M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/22/2005
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Last Update Date | 03/09/2017
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Provider Practice Location Address
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Address Line | 64-1035 MAMALAHOA HWY STE K
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City | KAMUELA
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State | HI
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Zip | 96743-8440
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Country | US
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Telephone | 808-883-9785
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Fax | 808-887-0546
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Provider Business Mailing Address
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Address Line | 64-1035 MAMALAHOA HWY STE K
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City | KAMUELA
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State | HI
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Zip | 96743-8440
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Country | US
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Telephone | 808-883-9785
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Fax | 808-887-0546
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD-7441
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License Number State | HI
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