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General NPI Number Information
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NPI Number | 1346583572
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Entity Type | Individual
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Provider Name | MATTHEW WARD LAWRENCE M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/06/2013
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Last Update Date | 09/21/2021
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Provider Practice Location Address
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Address Line | 1101 VAN NESS AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-6919
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Country | US
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Telephone | 415-600-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 3490 CALIFORNIA ST STE 201
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-1892
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Country | US
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Telephone | 415-244-1058
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Fax | 415-440-4893
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A159996
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License Number State | CA
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