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General NPI Number Information
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NPI Number | 1447564836
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Entity Type | Individual
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Provider Name | KRISTEN LAWRENCE
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Gender | Female
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Dates
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Enumeration Date | 07/28/2010
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Last Update Date | 03/18/2015
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Provider Practice Location Address
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Address Line | 910 BLACKFORD ST ATTN: CHILDREN'S THERAPY SERVICES
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City | CHATTANOOGA
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State | TN
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Zip | 37403-1405
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Country | US
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Telephone | 423-778-8035
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Fax |
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Provider Business Mailing Address
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Address Line | 910 BLACKFORD ST ATTN: CHILDREN'S THERAPY SERIVCES
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City | CHATTANOOGA
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State | TN
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Zip | 37403-1405
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Country | US
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Telephone | 423-778-8035
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 8929
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 4716
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License Number State | TN
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