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General NPI Number Information
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NPI Number | 1356302608
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Entity Type | Individual
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Provider Name | JU U LAWRENCE DMD
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Gender | Female
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 10/05/2017
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Provider Practice Location Address
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Address Line | 717 WALNUT DR
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City | PASO ROBLES
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State | CA
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Zip | 93446-2315
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Country | US
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Telephone | 805-238-5334
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Fax |
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Provider Business Mailing Address
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Address Line | 9201 N 5TH ST
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City | PHOENIX
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State | AZ
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Zip | 85020-2532
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Country | US
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Telephone | 623-434-3943
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Fax | 623-321-6268
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D5255
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7277
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 57203
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License Number State | CA
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